CAFFEINE 50MG/MAGNESIUM SALICYLATE 162.5MG TAB (23741) VA PRODUCT (50.68)

Name	Value
NAME	CAFFEINE 50MG/MAGNESIUM SALICYLATE 162.5MG TAB
VA GENERIC NAME	CAFFEINE/MAGNESIUM SALICYLATE
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	CAFFEINE STRENGTH: 50 UNITS: MG MAGNESIUM SALICYLATE STRENGTH: 162.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CAFFEINE/MAGNESIUM SALICYLATE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	CAFFEINE 50/MAG SALICYLATE 162.5MG TAB
VA PRODUCT IDENTIFIER	C1555
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4032233
EFFECTIVE DATE/TIME	2013-03-18 00:00:00 STATUS: ACTIVE