HYDROCODONE 5MG/ACETAMINOPHEN 500MG CAP (4411) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/ACETAMINOPHEN 500MG CAP
VA GENERIC NAME	ACETAMINOPHEN/HYDROCODONE
DOSAGE FORM	CAP,ORAL
FDA MED GUIDE	Hydrocodone-Acetaminophen_IR_(Generic)_(2016).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-01-27 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETAMINOPHEN/HYDROCODONE CAP,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
VA PRINT NAME	HYDROCODONE 5/ACETAMINOPHEN 500MG CAP
VA PRODUCT IDENTIFIER	H0210
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004958
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE