APAP 325MG/BUTALBITAL 50MG/CAFN 40MG CAP (5910) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/BUTALBITAL 50MG/CAFN 40MG CAP
VA GENERIC NAME	ACETAMINOPHEN/BUTALBITAL/CAFFEINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CAFFEINE STRENGTH: 40 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	ACETAMINOPHEN/BUTALBITAL/CAFFEINE CAP,ORAL
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	ACETAMINOPHEN325/BUTALB 50/CAFN 40MG CAP
VA PRODUCT IDENTIFIER	A1620
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	NO
VUID	4006433
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE