CODEINE 8.2MG/PYRILAMINE 12.5MG/5ML SYRUP (10043) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 8.2MG/PYRILAMINE 12.5MG/5ML SYRUP
VA GENERIC NAME	CODEINE/PYRILAMINE
DOSAGE FORM	SYRUP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CODEINE PHOSPHATE STRENGTH: 8.2 UNITS: MG/5ML PYRILAMINE MALEATE STRENGTH: 12.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CODEINE/PYRILAMINE SYRUP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010430
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE