B-DONNA 0.2MG/ERGOTAMINE 0.6MG/PHENOBARB 40MG TAB (5895) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 0.2MG/ERGOTAMINE 0.6MG/PHENOBARB 40MG TAB
VA GENERIC NAME	BELLADONNA/ERGOTAMINE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ERGOTAMINE TARTRATE STRENGTH: 0.6 UNITS: MG BELLADONNA ALKALOIDS STRENGTH: 0.2 UNITS: MG PHENOBARBITAL STRENGTH: 40 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-09-17 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	BELLADONNA/ERGOTAMINE/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	B-DONNA 0.2/ERGOTAMINE 0.6/PB 40MG TAB
VA PRODUCT IDENTIFIER	B0384
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006418
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-09-17 00:00:00 STATUS: INACTIVE