ERYTHROMYCIN 125MG CAP,EC (962)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN 125MG CAP,EC
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM CAP,EC
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 125
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 12
NATIONAL FORMULARY NAME ERYTHROMYCIN CAP,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
VA PRINT NAME ERYTHROMYCIN 125MG EC CAP
VA PRODUCT IDENTIFIER E0117
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4001566
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE