ERYTHROMYCIN ES 400MG TAB (953)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN ES 400MG TAB
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM TAB
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 400
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 3
NATIONAL FORMULARY NAME ERYTHROMYCIN TAB
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 ERYTHROMYCIN ES 400MG TAB
VA PRODUCT IDENTIFIER E0048
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4001557
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE