HYDROCODONE 5MG/HOMATROPINE 1.5MG/5ML SYRUP (4636) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/HOMATROPINE 1.5MG/5ML SYRUP
VA GENERIC NAME	HOMATROPINE/HYDROCODONE
DOSAGE FORM	SYRUP
FDA MED GUIDE	Hydrocodone-Homatropine_Soln_(Generic)_(2020).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG/5ML HOMATROPINE METHYLBROMIDE STRENGTH: 1.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	HOMATROPINE/HYDROCODONE SYRUP
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	NO
VA PRINT NAME	HYDROCODONE 5/HOMATROPINE 1.5MG/5ML SYR
VA PRODUCT IDENTIFIER	H0323
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005183
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE