CEPHALEXIN HCL MONOHYDRATE 250MG TAB (6510)    VA PRODUCT (50.68)

Name Value
NAME CEPHALEXIN HCL MONOHYDRATE 250MG TAB
VA GENERIC NAME CEPHALEXIN
DOSAGE FORM TAB
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2009-05-21 00:00:00
UNITS MG
DSS NUMBER 10
NATIONAL FORMULARY NAME CEPHALEXIN TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CEPHALEXIN 250MG TAB
VA PRODUCT IDENTIFIER C0148
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4007029
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-21 00:00:00
    STATUS:   INACTIVE