CODEINE 12MG/ACETAMINOPHEN 120MG/5ML ELIXIR (1845) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 12MG/ACETAMINOPHEN 120MG/5ML ELIXIR
VA GENERIC NAME	ACETAMINOPHEN/CODEINE
DOSAGE FORM	ELIXIR
FDA MED GUIDE	Codeine-Acetaminophen_Soln_(Generic)_(2017).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 120 UNITS: MG/5ML ALCOHOL STRENGTH: 7 UNITS: % CODEINE PHOSPHATE STRENGTH: 12 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2019-01-15 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CODEINE ELIXIR
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	CODEINE 12/ACETAMINOPHEN120MG/5ML ELIXIR
VA PRODUCT IDENTIFIER	C1488
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002430
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2019-01-15 00:00:00 STATUS: INACTIVE