ERYTHROMYCIN ESTOLATE 250MG TAB (992) VA PRODUCT (50.68)

Name	Value
NAME	ERYTHROMYCIN ESTOLATE 250MG TAB
VA GENERIC NAME	ERYTHROMYCIN
DOSAGE FORM	TAB
FORMULARY DESIGNATOR	R
ACTIVE INGREDIENTS	ERYTHROMYCIN ESTOLATE STRENGTH: 250 UNITS: MG
NATIONAL FORMULARY INDICATOR	YES
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	250
INACTIVATION DATE	2007-09-18 00:00:00
UNITS	MG
DSS NUMBER	46
NATIONAL FORMULARY NAME	ERYTHROMYCIN TAB
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 250MG TAB
VA PRODUCT IDENTIFIER	E0135
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4001596
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE