ALBUTEROL SO4 3MG/IPRATROPIUM BR 0.5MG/3ML INHL,3ML (15353)    VA PRODUCT (50.68)

Name Value
NAME ALBUTEROL SO4 3MG/IPRATROPIUM BR 0.5MG/3ML INHL,3ML
VA GENERIC NAME ALBUTEROL/IPRATROPIUM
DOSAGE FORM SOLN,INHL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ALBUTEROL/IPRATROPIUM SOLN,INHL
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 ALBUTEROL 3/IPRATROP 0.5MG/3ML INHL 3ML
VA PRODUCT IDENTIFIER A1096
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 3ML
MASTER ENTRY FOR VUID YES
VUID 4015717
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE