CHARCOAL 250MG/SIMETHICONE 80MG TAB (13442) VA PRODUCT (50.68)

Name	Value
NAME	CHARCOAL 250MG/SIMETHICONE 80MG TAB
VA GENERIC NAME	CHARCOAL/SIMETHICONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	SIMETHICONE STRENGTH: 80 UNITS: MG CHARCOAL STRENGTH: 250 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-02-04 00:00:00
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
VA PRINT NAME	CHARCOAL 250/SIMETHICONE 80MG TAB
VA PRODUCT IDENTIFIER	C0875
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4013807
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-02-04 00:00:00 STATUS: INACTIVE