| NAME |
CODEINE 12MG/ACETAMINOPHEN 120MG/5ML SOLN,ORAL |
| VA GENERIC NAME |
ACETAMINOPHEN/CODEINE |
| DOSAGE FORM |
SOLN,ORAL |
| FDA MED GUIDE |
Codeine-Acetaminophen_Soln_(Generic)_(2017).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule V |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/CODEINE SOLN,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
YES |
| PGX SUPPRESSED |
YES |
| VA PRINT NAME |
CODEINE 12/ACETAMINOPHEN120MG/5ML SOLN |
| VA PRODUCT IDENTIFIER |
C1635 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033470 |
| EFFECTIVE DATE/TIME |
-
- 2014-07-10 00:00:00
- STATUS: ACTIVE
|
