ACYCLOVIR 800MG TAB,UD (6005)    VA PRODUCT (50.68)

Name Value
NAME ACYCLOVIR 800MG TAB,UD
VA GENERIC NAME ACYCLOVIR
DOSAGE FORM TAB
FORMULARY DESIGNATOR R
ACTIVE INGREDIENTS
  1. ACTIVE INGREDIENTS:   ACYCLOVIR
    STRENGTH:   800
    UNITS:   MG
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 800
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 10
NATIONAL FORMULARY NAME ACYCLOVIR TAB
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Inpatient
CODING SYSTEM
  1. CODING SYSTEM:   RxNorm
    CODE:
COPAY TIER
  1. COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME ACYCLOVIR 800MG TAB UD
VA PRODUCT IDENTIFIER A0965
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006527
EFFECTIVE DATE/TIME
  1. EFFECTIVE DATE/TIME:   2005-03-10 00:00:00
    STATUS:   ACTIVE