K PARA-AMINOBENZOATE 0.3GM/K SALICYLATE 0.3GM TAB,EC (4162) VA PRODUCT (50.68)

Name	Value
NAME	K PARA-AMINOBENZOATE 0.3GM/K SALICYLATE 0.3GM TAB,EC
VA GENERIC NAME	POTASSIUM PARA-AMINOBENZOATE/POTASSIUM SALICYLATE
DOSAGE FORM	TAB,EC
ACTIVE INGREDIENTS	POTASSIUM PARA-AMINOBENZOATE STRENGTH: 0.3 UNITS: GM POTASSIUM SALICYLATE STRENGTH: 0.3 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	POTASSIUM PARA-AMINOBENZOATE/POTASSIUM SALICYLATE TAB,EC
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	PABALATE-SF EC TAB
VA PRODUCT IDENTIFIER	P0205
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004714
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE