THEOPHYLLINE 260MG CAP,SA (THEOCLEAR LA) (3164)    VA PRODUCT (50.68)

Name Value
NAME THEOPHYLLINE 260MG CAP,SA (THEOCLEAR LA)
VA GENERIC NAME THEOPHYLLINE
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 260
INACTIVATION DATE 2003-08-01 00:00:00
UNITS MG
DSS NUMBER 94
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) 260MG SA CAP
VA PRODUCT IDENTIFIER T0289
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4003734
EFFECTIVE DATE/TIME
  • 2003-08-01 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE