AZITHROMYCIN 250MG CAP (9748)    VA PRODUCT (50.68)

Name Value
NAME AZITHROMYCIN 250MG CAP
VA GENERIC NAME AZITHROMYCIN
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2008-07-01 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME AZITHROMYCIN CAP,ORAL
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 AZITHROMYCIN 250MG CAP
VA PRODUCT IDENTIFIER A0479
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4010157
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
  • 2008-07-01 00:00:00
    STATUS:   INACTIVE