ERYTHROMYCIN 1.5% SOLN,TOP (964) VA PRODUCT (50.68)

Name	Value
NAME	ERYTHROMYCIN 1.5% SOLN,TOP
VA GENERIC NAME	ERYTHROMYCIN
DOSAGE FORM	SOLN,TOP
FORMULARY DESIGNATOR	R
ACTIVE INGREDIENTS	ERYTHROMYCIN STRENGTH: 1.5 UNITS: %
NATIONAL FORMULARY INDICATOR	NO
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.5
INACTIVATION DATE	2009-05-20 00:00:00
UNITS	%
DSS NUMBER	14
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 1.5% TOP SOLN
VA PRODUCT IDENTIFIER	E0040
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4001568
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2009-05-20 00:00:00 STATUS: INACTIVE