OPIUM 24MG/B-DONNA 0.1296MG/KAOLIN/PECTIN/30ML SUSP (4155) VA PRODUCT (50.68)

Name	Value
NAME	OPIUM 24MG/B-DONNA 0.1296MG/KAOLIN/PECTIN/30ML SUSP
VA GENERIC NAME	BELLADONNA/KAOLIN/OPIUM/PECTIN
DOSAGE FORM	SUSP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0194 UNITS: MG/30ML KAOLIN STRENGTH: 6 UNITS: GM/30ML PECTIN STRENGTH: 142.8 UNITS: MG/30ML HYOSCINE HYDROBROMIDE STRENGTH: 0.0065 UNITS: MG/30ML OPIUM STRENGTH: 24 UNITS: MG/30ML HYOSCYAMINE SULFATE STRENGTH: 0.1037 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BELLADONNA/KAOLIN/OPIUM/PECTIN SUSP
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004707
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE