NYSTATIN 100000UNT/ML SUSP,ORAL (897)    VA PRODUCT (50.68)

Name Value
NAME NYSTATIN 100000UNT/ML SUSP,ORAL
VA GENERIC NAME NYSTATIN
DOSAGE FORM SUSP,ORAL
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100000
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 1999-06-11 00:00:00
UNITS UNIT/ML
DSS NUMBER 11
NATIONAL FORMULARY NAME NYSTATIN SUSP,ORAL
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
VA PRINT NAME NYSTATIN 100000 UNT/ML SUSP
VA PRODUCT IDENTIFIER N0095
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4001505
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 1999-06-11 00:00:00
    STATUS:   INACTIVE