AMINOPHYLLINE 100MG TAB,EC (2793)    VA PRODUCT (50.68)

Name Value
NAME AMINOPHYLLINE 100MG TAB,EC
VA GENERIC NAME AMINOPHYLLINE
DOSAGE FORM TAB,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 11
NATIONAL FORMULARY NAME AMINOPHYLLINE TAB,EC
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 AMINOPHYLLINE 100MG EC TAB
VA PRODUCT IDENTIFIER A0199
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4003372
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE