CODEINE 10MG/TERPIN HYDRATE 85MG/5ML ELIXIR (593) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/TERPIN HYDRATE 85MG/5ML ELIXIR
VA GENERIC NAME	CODEINE/TERPIN HYDRATE
DOSAGE FORM	ELIXIR
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	TERPIN HYDRATE STRENGTH: 85 UNITS: MG/5ML CODEINE SULFATE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CODEINE/TERPIN HYDRATE ELIXIR
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001205
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE