DICYCLOMINE HCL 20MG CAP (2001)    VA PRODUCT (50.68)

Name Value
NAME DICYCLOMINE HCL 20MG CAP
VA GENERIC NAME DICYCLOMINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
INACTIVATION DATE 2004-11-18 00:00:00
UNITS MG
DSS NUMBER 6
NATIONAL FORMULARY NAME DICYCLOMINE TAB
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 DICYCLOMINE HCL 20MG CAP
VA PRODUCT IDENTIFIER D0207
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID NO
VUID 4002585
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE