ASA 200MG/BUTALBITAL 50MG/CAFN 40MG CAP (5917) VA PRODUCT (50.68)

Name	Value
NAME	ASA 200MG/BUTALBITAL 50MG/CAFN 40MG CAP
VA GENERIC NAME	ASPIRIN/BUTALBITAL/CAFFEINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ASPIRIN STRENGTH: 200 UNITS: MG CAFFEINE STRENGTH: 40 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-29 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ASPIRIN/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	ASA 200/BUTALBITAL 50/CAFF 40MG CAP
VA PRODUCT IDENTIFIER	A0895
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006440
EFFECTIVE DATE/TIME	2002-10-29 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE