APAP 325MG/BUTALBITAL 50MG/CAFFEINE 40MG/15ML LIQUID,ORAL (25738) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/BUTALBITAL 50MG/CAFFEINE 40MG/15ML LIQUID,ORAL
VA GENERIC NAME	ACETAMINOPHEN/BUTALBITAL/CAFFEINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CAFFEINE STRENGTH: 40 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2022-02-15 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	A1807
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4034488
EFFECTIVE DATE/TIME	2015-05-28 00:00:00 STATUS: ACTIVE 2022-02-15 00:00:00 STATUS: INACTIVE