APAP 325MG/CAFN 50MG/PHENYLTOLOX 20MG/SALICYLAMIDE 250MG CAP (19863) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/CAFN 50MG/PHENYLTOLOX 20MG/SALICYLAMIDE 250MG CAP
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/PHENYLTOLOXAMINE/SALICYLAMIDE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CAFFEINE STRENGTH: 50 UNITS: MG SALICYLAMIDE STRENGTH: 250 UNITS: MG PHENYLTOLOXAMINE CITRATE STRENGTH: 20 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-08-30 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/PHENYLTOLOXAMINE/SALICYLAMIDE 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	APAP 325/CAFF 50/P-TLOX 20/SAL 250MG CAP
VA PRODUCT IDENTIFIER	A1470
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4027792
EFFECTIVE DATE/TIME	2008-08-20 00:00:00 STATUS: ACTIVE 2011-08-30 00:00:00 STATUS: INACTIVE