ERYTHROMYCIN 250MG CAP,SA (988)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN 250MG CAP,SA
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM CAP,SA
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR NO
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 250
INACTIVATION DATE 2005-04-19 00:00:00
UNITS MG
DSS NUMBER 38
NATIONAL FORMULARY NAME ERYTHROMYCIN CAP,SA
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 4001592
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-04-19 00:00:00
    STATUS:   INACTIVE