BELLADONNA EXTRACT 15MG/BUTABARBITAL NA 15MG/5ML ELIXIR (4231) VA PRODUCT (50.68)

Name	Value
NAME	BELLADONNA EXTRACT 15MG/BUTABARBITAL NA 15MG/5ML ELIXIR
VA GENERIC NAME	BELLADONNA/BUTABARBITAL
DOSAGE FORM	ELIXIR
ACTIVE INGREDIENTS	BUTABARBITAL SODIUM STRENGTH: 15 UNITS: MG/5ML TARTRAZINE BELLADONNA EXTRACT STRENGTH: 15 UNITS: MG/5ML SACCHARIN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BELLADONNA/BUTABARBITAL ELIXIR
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 EXT 15/BUTABARB 15MG/5ML
VA PRODUCT IDENTIFIER	B0341
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004783
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE