GENTAMICIN SO4 0.8MG/ML/DEXTROSE 5% INJ (6898)    VA PRODUCT (50.68)

Name Value
NAME GENTAMICIN SO4 0.8MG/ML/DEXTROSE 5% INJ
VA GENERIC NAME DEXTROSE/GENTAMICIN
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.8
INACTIVATION DATE 2011-11-02 00:00:00
UNITS MG/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME DEXTROSE/GENTAMICIN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 GENTAMICIN SO4 0.8MG/ML/DEXTROSE 5% INJ
VA PRODUCT IDENTIFIER G0327
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007410
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-11-02 00:00:00
    STATUS:   INACTIVE