ERYTHROMYCIN ESTOLATE 125MG CAP (977)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN ESTOLATE 125MG CAP
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM CAP,ORAL
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 125
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 27
NATIONAL FORMULARY NAME ERYTHROMYCIN 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
VA PRINT NAME ERYTHROMYCIN ESTOLATE 125MG CAP
VA PRODUCT IDENTIFIER E0131
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4001581
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE