HYDROCODONE 5MG/GG 300MG/PSEUDEFED 30MG TAB (5135) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/GG 300MG/PSEUDEFED 30MG TAB
VA GENERIC NAME	GUAIFENESIN/HYDROCODONE/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG GUAIFENESIN STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	GUAIFENESIN/HYDROCODONE/PSEUDOEPHEDRINE 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	4005676
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE