AMPICILLIN NA 1GM/VIL INJ (730)    VA PRODUCT (50.68)

Name Value
NAME AMPICILLIN NA 1GM/VIL INJ
VA GENERIC NAME AMPICILLIN
DOSAGE FORM INJ
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS GM/VIAL
DSS NUMBER 17
NATIONAL FORMULARY NAME AMPICILLIN 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
VA PRINT NAME AMPICILLIN NA 1GM/VI INJ
VA PRODUCT IDENTIFIER A0509
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4001341
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE