OPIUM 30MG/BELLADONNA EXTRACT 15MG SUPP,RTL (2722) VA PRODUCT (50.68)

Name	Value
NAME	OPIUM 30MG/BELLADONNA EXTRACT 15MG SUPP,RTL
VA GENERIC NAME	BELLADONNA/OPIUM
DOSAGE FORM	SUPP,RTL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	BELLADONNA EXTRACT STRENGTH: 15 UNITS: MG OPIUM STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2009-12-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BELLADONNA/OPIUM SUPP,RTL
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	OPIUM 30MG/BELLADONNA 15MG RTL SUPP
VA PRODUCT IDENTIFIER	O0251
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4003302
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-12-14 00:00:00 STATUS: INACTIVE