THEOPHYLLINE 130MG CAP,SA (THEOCLEAR LA) (3163)    VA PRODUCT (50.68)

Name Value
NAME THEOPHYLLINE 130MG CAP,SA (THEOCLEAR LA)
VA GENERIC NAME THEOPHYLLINE
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 130
INACTIVATION DATE 2003-08-01 00:00:00
UNITS MG
DSS NUMBER 93
NATIONAL FORMULARY NAME THEOPHYLLINE CAP,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 (THEOCLEAR LA) 130MG SA CAP
VA PRODUCT IDENTIFIER T0288
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4003733
EFFECTIVE DATE/TIME
  • 2003-08-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE