ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP (28672) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 300MG/BUTALBITAL 50MG CAP
VA GENERIC NAME	ACETAMINOPHEN/BUTALBITAL
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 300 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
NATIONAL FORMULARY NAME	ACETAMINOPHEN/BUTALBITAL CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-08-02 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ACETAMINOPHEN 300/BUTALBITAL 50MG CAP
VA PRODUCT IDENTIFIER	A1986
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4037711
EFFECTIVE DATE/TIME	2018-08-02 00:00:00 STATUS: ACTIVE