APAP 325MG/BUTALBITAL 50MG/CAFN 40MG/15ML,ORAL,LIQ (25737)    VA PRODUCT (50.68)

Name Value
NAME APAP 325MG/BUTALBITAL 50MG/CAFN 40MG/15ML,ORAL,LIQ
VA GENERIC NAME ACETAMINOPHEN/BUTALBITAL/CAFFEINE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2015-05-28 00:00:00
NATIONAL FORMULARY NAME ACETAMINOPHEN/BUTALBITAL/CAFFEINE 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 ACETAMINOPHEN325/BUTALB50/CAFN40MG/ 15ML
VA PRODUCT IDENTIFIER A1806
TRANSMIT TO CMOP YES
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4034487
EFFECTIVE DATE/TIME
  • 2015-05-28 00:00:00
    STATUS:   ACTIVE