PHENAZOPYRIDINE HCL 50MG/SULFISOXAZOLE 500MG TAB (1453) VA PRODUCT (50.68)

Name	Value
NAME	PHENAZOPYRIDINE HCL 50MG/SULFISOXAZOLE 500MG TAB
VA GENERIC NAME	PHENAZOPYRIDINE/SULFISOXAZOLE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	SULFISOXAZOLE STRENGTH: 500 UNITS: MG PHENAZOPYRIDINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PHENAZOPYRIDINE/SULFISOXAZOLE 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	PHENAZOPYRIDINE 50/SULFISOXAZO 500MG TAB
VA PRODUCT IDENTIFIER	P0379
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4002052
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-24 00:00:00 STATUS: INACTIVE