CODEINE 10MG/PROMETHAZINE 6.25MG/5ML SOLN (1870) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/PROMETHAZINE 6.25MG/5ML SOLN
VA GENERIC NAME	CODEINE/PROMETHAZINE
DOSAGE FORM	SOLN,ORAL
FDA MED GUIDE	Codeine-Promethazine_Liq_(Generic)_(2018).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PROMETHAZINE HYDROCHLORIDE STRENGTH: 6.25 UNITS: MG/5ML CODEINE PHOSPHATE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2010-07-15 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CODEINE/PROMETHAZINE SOLN,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	CODEINE 10/PROMETHAZINE 6.25MG/5ML SOLN
VA PRODUCT IDENTIFIER	C0971
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002455
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-07-15 00:00:00 STATUS: INACTIVE