ATROPINE SO4 0.025MG/DIPHENOXYLATE HCL 2.5MG/5ML LIQUID (2045) VA PRODUCT (50.68)

Name	Value
NAME	ATROPINE SO4 0.025MG/DIPHENOXYLATE HCL 2.5MG/5ML LIQUID
VA GENERIC NAME	ATROPINE/DIPHENOXYLATE
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.025 UNITS: MG/5ML DIPHENOXYLATE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	ATROPINE/DIPHENOXYLATE LIQUID,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	ATROPINE 0.025/DIPHENOXYLATE 2.5MG/5ML
VA PRODUCT IDENTIFIER	A0927
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4002628
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE