B-DONNA 0.2MG/ERGOTAMINE 0.6MG/PHENOBARB 40MG TAB,SA (5893) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 0.2MG/ERGOTAMINE 0.6MG/PHENOBARB 40MG TAB,SA
VA GENERIC NAME	BELLADONNA/ERGOTAMINE/PHENOBARBITAL
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	BELLADONNA STRENGTH: 0.2 UNITS: MG ERGOTAMINE TARTRATE STRENGTH: 0.6 UNITS: MG PHENOBARBITAL STRENGTH: 40 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BELLADONNA/ERGOTAMINE/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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006416
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE