BELLADONNA ALKALOIDS 0.1296MG/PHENOBARBITAL 16.2MG CAP (4067) VA PRODUCT (50.68)

Name	Value
NAME	BELLADONNA ALKALOIDS 0.1296MG/PHENOBARBITAL 16.2MG CAP
VA GENERIC NAME	ATROPINE/HYOSCYAMINE/PHENOBARBITAL/SCOPOLAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0194 UNITS: MG PHENOBARBITAL STRENGTH: 16.2 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.1037 UNITS: MG SCOPOLAMINE HYDROBROMIDE STRENGTH: 0.0065 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ATROPINE/HYOSCYAMINE/PHENOBARBITAL/SCOPOLAMINE CAP,ORAL
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	BELLADONNA ALK 0.13/PHENOBARB 16MG CAP
VA PRODUCT IDENTIFIER	B0330
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004620
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE