| NAME |
APAP 325MG/DICHLORALPHENAZONE 100MG/ISOMETHEPTENE 65MG CAP |
| VA GENERIC NAME |
ACETAMINOPHEN/DICHLORALPHENAZONE/ISOMETHEPTENE |
| DOSAGE FORM |
CAP,ORAL |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR |
NO |
| CS FEDERAL SCHEDULE |
Schedule IV |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-01-15 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/DICHLORALPHENAZONE/ISOMETHEPTENE CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ACETAMINOPHEN325/DICHL100/ISOME 65MG CAP |
| VA PRODUCT IDENTIFIER |
A1911 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4006626 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2019-01-15 00:00:00
- STATUS: INACTIVE
|
