ERYTHROMYCIN 2% PLEDGET SOLN,TOP (961)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN 2% PLEDGET SOLN,TOP
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM SOLN,TOP
HAZARDOUS TO DISPOSE NO
DOT SHIPPING CODE

FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
DSS NUMBER 11
NATIONAL FORMULARY NAME ERYTHROMYCIN SOLN,TOP
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 2% TOP PLEDGET
VA PRODUCT IDENTIFIER E0044
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4001565
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE