| Name | Value |
|---|---|
| NAME | AMPICILLIN NA 10GM/VIL INJ |
| VA GENERIC NAME | AMPICILLIN |
| DOSAGE FORM | INJ |
| FORMULARY DESIGNATOR | R |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR | YES |
| CS FEDERAL SCHEDULE | Unscheduled |
| STRENGTH | 10 |
| SINGLE/MULTI SOURCE PRODUCT | Multisource |
| UNITS | GM/VIAL |
| DSS NUMBER | 15 |
| NATIONAL FORMULARY NAME | AMPICILLIN INJ |
| CREATE DEFAULT POSSIBLE DOSAGE | NO |
| POSSIBLE DOSAGES TO CREATE | No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
|
| VA PRINT NAME | AMPICILLIN NA 10GM/VI INJ |
| VA PRODUCT IDENTIFIER | A0990 |
| TRANSMIT TO CMOP | NO |
| VA DISPENSE UNIT | VI |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4001339 |
| EFFECTIVE DATE/TIME |
|