CALCIUM IODIDE 150MG/ISOPROTERENOL SO4 3MG/5ML SYRUP (5757) VA PRODUCT (50.68)

Name	Value
NAME	CALCIUM IODIDE 150MG/ISOPROTERENOL SO4 3MG/5ML SYRUP
VA GENERIC NAME	CALCIUM IODIDE/ISOPROTERENOL
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	CALCIUM IODIDE STRENGTH: 150 UNITS: MG/5ML ISOPROTERENOL SULFATE STRENGTH: 3 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CALCIUM IODIDE/ISOPROTERENOL SYRUP
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	CA IODIDE 150/ISOPROTERENOL 3MG/5ML SYR
VA PRODUCT IDENTIFIER	C0043
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006282
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE