APAP 360MG/BUTALBITAL 50MG/CAFN 40MG CAP (5912) VA PRODUCT (50.68)

Name	Value
NAME	APAP 360MG/BUTALBITAL 50MG/CAFN 40MG CAP
VA GENERIC NAME	ACETAMINOPHEN/BUTALBITAL/CAFFEINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 360 UNITS: MG CAFFEINE STRENGTH: 40 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	4
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	APAP 360/BUTALBITAL 50/CAFF 40MG CAP
VA PRODUCT IDENTIFIER	A0699
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006435
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE