AMINOPHYLLINE DIHYDRATE 2MG/ML/NACL 0.4% INJ (5735) VA PRODUCT (50.68)

Name	Value
NAME	AMINOPHYLLINE DIHYDRATE 2MG/ML/NACL 0.4% INJ
VA GENERIC NAME	AMINOPHYLLINE/SODIUM CHLORIDE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	SODIUM CHLORIDE STRENGTH: 0.4 UNITS: % AMINOPHYLLINE DIHYDRATE STRENGTH: 2 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	2
INACTIVATION DATE	2003-08-01 00:00:00
UNITS	MG/ML
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMINOPHYLLINE/SODIUM CHLORIDE INJ
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	AMINOPHYLLINE 2MG/ML/NACL 0.4% INJ
VA PRODUCT IDENTIFIER	A0828
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006260
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE