THEOPHYLLINE,ANHYDROUS 50MG SPRINKLE CAP,SA (3118)    VA PRODUCT (50.68)

Name Value
NAME THEOPHYLLINE,ANHYDROUS 50MG SPRINKLE CAP,SA
VA GENERIC NAME THEOPHYLLINE
DOSAGE FORM CAP,SPRINKLE,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2003-08-01 00:00:00
UNITS MG
DSS NUMBER 60
NATIONAL FORMULARY NAME THEOPHYLLINE CAP,SPRINKLE,SA
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 THEOPHYLLINE 50MG SPRINKLE SA CAP
VA PRODUCT IDENTIFIER T0164
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID NO
VUID 4003692
EFFECTIVE DATE/TIME
  • 2003-08-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE