HYDROCODONE 10MG/ACETAMINOPHEN 300MG/15ML ELIXIR (24283) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 10MG/ACETAMINOPHEN 300MG/15ML ELIXIR
VA GENERIC NAME	ACETAMINOPHEN/HYDROCODONE
DOSAGE FORM	ELIXIR
FDA MED GUIDE	Hydrocodone-Acetaminophen-10-300_per_15ml_Soln_(Lortab_Elixir)_(2018).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 300 UNITS: MG/15ML HYDROCODONE BITARTRATE STRENGTH: 10 UNITS: MG/15ML
CS FEDERAL SCHEDULE	Schedule II
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/HYDROCODONE ELIXIR
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	HYDROCODONE 10MG/APAP 300MG/15ML ELIXIR
VA PRODUCT IDENTIFIER	H0646
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4032836
EFFECTIVE DATE/TIME	2013-10-31 00:00:00 STATUS: ACTIVE