BELLADONNA ALKALOIDS 0.25MG/PHENOBARBITAL 50MG TAB,SA (5064) VA PRODUCT (50.68)

Name	Value
NAME	BELLADONNA ALKALOIDS 0.25MG/PHENOBARBITAL 50MG TAB,SA
VA GENERIC NAME	BELLADONNA/PHENOBARBITAL
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	BELLADONNA ALKALOIDS STRENGTH: 0.25 UNITS: MG PHENOBARBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BELLADONNA/PHENOBARBITAL TAB,SA
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	BELLADONNA ALK 0.25/PHENOBARB 50MG SA TB
VA PRODUCT IDENTIFIER	B0335
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005605
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE