| NAME |
PHENOBARBITAL 20MG/5ML ELIXIR,15ML |
| VA GENERIC NAME |
PHENOBARBITAL |
| DOSAGE FORM |
ELIXIR |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule IV |
| STRENGTH |
20 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2018-09-17 00:00:00 |
| UNITS |
MG/5ML |
| DSS NUMBER |
20 |
| NATIONAL FORMULARY NAME |
PHENOBARBITAL ELIXIR |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| VA PRINT NAME |
PHENOBARBITAL 20MG/5ML ELIXIR 15ML |
| VA PRODUCT IDENTIFIER |
P0457 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4000734 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2018-09-17 00:00:00
- STATUS: INACTIVE
|
