ERYTHROMYCIN 500MG TAB,SA (993)    VA PRODUCT (50.68)

Name Value
NAME ERYTHROMYCIN 500MG TAB,SA
VA GENERIC NAME ERYTHROMYCIN
DOSAGE FORM TAB,SA
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 500
INACTIVATION DATE 2011-10-13 00:00:00
UNITS MG
DSS NUMBER 47
NATIONAL FORMULARY NAME ERYTHROMYCIN TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 4001597
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-10-13 00:00:00
    STATUS:   INACTIVE