ASA 325MG/BUTALBITAL 50MG/CAFN 40MG TAB (5915)    VA PRODUCT (50.68)

Name Value
NAME ASA 325MG/BUTALBITAL 50MG/CAFN 40MG TAB
VA GENERIC NAME ASPIRIN/BUTALBITAL/CAFFEINE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 2
NATIONAL FORMULARY NAME ASPIRIN/BUTALBITAL/CAFFEINE 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 ASA 325/BUTALBITAL 50/CAFF 40MG TAB
VA PRODUCT IDENTIFIER A0898
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006438
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE