| NAME |
HYDROCODONE 2.5MG/ACETAMINOPHEN 167MG/5ML ELIXIR |
| VA GENERIC NAME |
ACETAMINOPHEN/HYDROCODONE |
| DOSAGE FORM |
ELIXIR |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule II |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-04-15 00:00:00 |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/HYDROCODONE ELIXIR |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDROCODONE 2.5/APAP 167MG/5ML ELIXIR |
| VA PRODUCT IDENTIFIER |
H0399 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4015410 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2019-04-15 00:00:00
- STATUS: INACTIVE
|
