ERYTHROMYCIN GLUCEPTATE 500MG/VIL INJ IV (978)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN GLUCEPTATE 500MG/VIL INJ IV
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM INJ,SOLN
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG/VIAL
DSS NUMBER 28
NATIONAL FORMULARY NAME ERYTHROMYCIN INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4001582
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE