BELLADONNA LEAF 10.8MG/PHENOBARBITAL 16MG TAB (5066) VA PRODUCT (50.68)

Name	Value
NAME	BELLADONNA LEAF 10.8MG/PHENOBARBITAL 16MG TAB
VA GENERIC NAME	BELLADONNA/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	BELLADONNA LEAF STRENGTH: 10.8 UNITS: MG PHENOBARBITAL STRENGTH: 16.2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	BELLADONNA/PHENOBARBITAL 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
VA PRINT NAME	BELLADONNA LEAF 10.8/PHENOBARB 16MG TAB
VA PRODUCT IDENTIFIER	B0342
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005607
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE