ERYTHROMYCIN 250MG TAB,EC (958)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN 250MG TAB,EC
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM TAB,EC
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2011-10-13 00:00:00
UNITS MG
DSS NUMBER 8
NATIONAL FORMULARY NAME ERYTHROMYCIN TAB,EC
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 ERYTHROMYCIN 250MG EC TAB
VA PRODUCT IDENTIFIER E0047
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4001562
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-10-13 00:00:00
    STATUS:   INACTIVE