CODEINE 15MG/APAP 325MG/BUTALBITAL 50MG CAP (6101) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 15MG/APAP 325MG/BUTALBITAL 50MG CAP
VA GENERIC NAME	ACETAMINOPHEN/BUTALBITAL/CODEINE
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CODEINE PHOSPHATE STRENGTH: 15 UNITS: MG BUTALBITAL STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ACETAMINOPHEN/BUTALBITAL/CODEINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006622
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE