ALBUTEROL 100MCG/IPRATROPIUM BR 20MCG/SPRAY INHALER,ORAL,4GM (23174) VA PRODUCT (50.68)

Name	Value
NAME	ALBUTEROL 100MCG/IPRATROPIUM BR 20MCG/SPRAY INHALER,ORAL,4GM
VA GENERIC NAME	ALBUTEROL/IPRATROPIUM
DOSAGE FORM	INHL,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ALBUTEROL STRENGTH: 100 UNITS: MCG IPRATROPIUM STRENGTH: 20 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ALBUTEROL/IPRATROPIUM INHL,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ALBUTEROL 100/IPRATRO 20MCG 120D PO INHL
VA PRODUCT IDENTIFIER	A1662
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4031590
EFFECTIVE DATE/TIME	2012-08-03 00:00:00 STATUS: ACTIVE