CODEINE 30MG/AL OH 75MG/ASA 325MG/MG OH 75MG TAB (5062) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 30MG/AL OH 75MG/ASA 325MG/MG OH 75MG TAB
VA GENERIC NAME	ALUMINUM HYDROXIDE/ASPIRIN/CODEINE/MAGNESIUM HYDROXIDE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 75 UNITS: MG ASPIRIN STRENGTH: 325 UNITS: MG MAGNESIUM HYDROXIDE STRENGTH: 75 UNITS: MG CODEINE PHOSPHATE STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/ASPIRIN/CODEINE/MAGNESIUM HYDROXIDE 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	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005603
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE