CODEINE 10MG/GLYCEROL,IODINATED 30MG/5ML (SF) LIQUID (4322) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/GLYCEROL,IODINATED 30MG/5ML (SF) LIQUID
VA GENERIC NAME	CODEINE/GLYCEROL,IODINATED
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	GLYCEROL,IODINATED STRENGTH: 30 UNITS: MG/5ML CODEINE PHOSPHATE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CODEINE/GLYCEROL,IODINATED LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004871
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE