PENTAZOCINE HCL 12.5MG/ASPIRIN 325MG TAB (3789)    VA PRODUCT (50.68)

Name Value
NAME PENTAZOCINE HCL 12.5MG/ASPIRIN 325MG TAB
VA GENERIC NAME ASPIRIN/PENTAZOCINE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
INACTIVATION DATE 2007-09-24 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ASPIRIN/PENTAZOCINE TAB
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 PENTAZOCINE HCL 12.5/ASPIRIN 325MG TAB
VA PRODUCT IDENTIFIER P0543
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004347
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-24 00:00:00
    STATUS:   INACTIVE