| Name | Value |
|---|---|
| NAME | AMPICILLIN NA 125MG/VIL INJ |
| VA GENERIC NAME | AMPICILLIN |
| DOSAGE FORM | INJ |
| FORMULARY DESIGNATOR | R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR | YES |
| CS FEDERAL SCHEDULE | Unscheduled |
| STRENGTH | 125 |
| SINGLE/MULTI SOURCE PRODUCT | Single source |
| UNITS | MG/VIAL |
| DSS NUMBER | 12 |
| NATIONAL FORMULARY NAME | AMPICILLIN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| VA PRINT NAME | AMPICILLIN NA 125MG/VI INJ |
| VA PRODUCT IDENTIFIER | A0507 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | VI |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4001336 |
| EFFECTIVE DATE/TIME |
|