CHLORDIAZEPOXIDE HCL 5MG/METHSCOPOLAMINE NITRATE 2.5MG CAP,ORAL (17296)    VA PRODUCT (50.68)

Name Value
NAME CHLORDIAZEPOXIDE HCL 5MG/METHSCOPOLAMINE NITRATE 2.5MG CAP,ORAL
VA GENERIC NAME CHLORDIAZEPOXIDE/METHSCOPOLAMINE
DOSAGE FORM CAP,ORAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
INACTIVATION DATE 2008-09-02 00:00:00
NATIONAL FORMULARY NAME CHLORDIAZEPOXIDE/METHSCOPOLAMINE CAP,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 CHLORDIAZEPOXIDE 5/METHSCOP 2.5MG CAP
VA PRODUCT IDENTIFIER C1206
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4024728
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE