CODEINE 16MG/ASA 325MG/CARISOPRODOL 200MG TAB (4300) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 16MG/ASA 325MG/CARISOPRODOL 200MG TAB
VA GENERIC NAME	ASPIRIN/CARISOPRODOL/CODEINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CARISOPRODOL STRENGTH: 200 UNITS: MG ASPIRIN STRENGTH: 325 UNITS: MG CODEINE PHOSPHATE STRENGTH: 16 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASPIRIN/CARISOPRODOL/CODEINE 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	YES
PGX SUPPRESSED	YES
VA PRINT NAME	CODEINE 16MG/ASA 325MG/CARISOP 200MG TAB
VA PRODUCT IDENTIFIER	C1440
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004852
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE