THEOPHYLLINE,ANHYDROUS 150MG/15ML SYRUP (3092)    VA PRODUCT (50.68)

Name Value
NAME THEOPHYLLINE,ANHYDROUS 150MG/15ML SYRUP
VA GENERIC NAME THEOPHYLLINE
DOSAGE FORM SYRUP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 150
INACTIVATION DATE 2007-09-26 00:00:00
UNITS MG/15ML
DSS NUMBER 21
NATIONAL FORMULARY NAME THEOPHYLLINE SYRUP
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4003666
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-26 00:00:00
    STATUS:   INACTIVE