CHARCOAL 400MG/SIMETHICONE 80MG TAB (10170) VA PRODUCT (50.68)

Name	Value
NAME	CHARCOAL 400MG/SIMETHICONE 80MG TAB
VA GENERIC NAME	CHARCOAL/SIMETHICONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	SIMETHICONE STRENGTH: 80 UNITS: MG CHARCOAL,ACTIVATED STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHARCOAL/SIMETHICONE 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
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010547
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE