PENICILLIN G K 20000UNT/ML/DEXTROSE 5% INJ (6899)    VA PRODUCT (50.68)

Name Value
NAME PENICILLIN G K 20000UNT/ML/DEXTROSE 5% INJ
VA GENERIC NAME DEXTROSE/PENICILLIN
DOSAGE FORM INJ
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20000
INACTIVATION DATE 2009-05-26 00:00:00
UNITS UNIT/ML
DSS NUMBER 1
NATIONAL FORMULARY NAME DEXTROSE/PENICILLIN INJ
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007411
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE
  • 2009-05-26 00:00:00
    STATUS:   INACTIVE