HYDROCODONE 5MG/CARBINOXAMINE 2MG/PSEUDEFED 30MG/5ML SYRUP (16460) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/CARBINOXAMINE 2MG/PSEUDEFED 30MG/5ML SYRUP
VA GENERIC NAME	HYDROCODONE/CARBINOXAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 30 UNITS: MG/5ML CARBINOXAMINE STRENGTH: 2 UNITS: MG/5ML HYDROCODONE STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2010-06-14 00:00:00
NATIONAL FORMULARY NAME	HYDROCODONE/CARBINOXAMINE/PSEUDOEPHEDRINE SYRUP,ORAL
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	HYDROCODONE 5/CARB 2/PSE 30MG/5ML SYRUP
VA PRODUCT IDENTIFIER	H0423
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4016823
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-06-14 00:00:00 STATUS: INACTIVE