DIHYDROCODEINE 16MG/APAP 325MG/CAFN 30MG TAB (27668) VA PRODUCT (50.68)

Name	Value
NAME	DIHYDROCODEINE 16MG/APAP 325MG/CAFN 30MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/DIHYDROCODEINE
DOSAGE FORM	TAB
FDA MED GUIDE	Dihydrocodeine-Acetaminophen-Caffeine_(Generic)_(2017).pdf
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CAFFEINE STRENGTH: 30 UNITS: MG DIHYDROCODEINE BITARTRATE STRENGTH: 16 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2023-05-15 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/DIHYDROCODEINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-06-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DIHYDROCODEINE 16/APAP 325/CAFF 30MG TAB
VA PRODUCT IDENTIFIER	D1157
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4036606
EFFECTIVE DATE/TIME	2017-04-27 00:00:00 STATUS: ACTIVE 2023-05-15 00:00:00 STATUS: INACTIVE