ISOPROTERENOL HCL 0.16MG/PHENYLEPHRINE 0.24MG/SPRAY (6190) VA PRODUCT (50.68)

Name	Value
NAME	ISOPROTERENOL HCL 0.16MG/PHENYLEPHRINE 0.24MG/SPRAY
VA GENERIC NAME	ISOPROTERENOL/PHENYLEPHRINE
DOSAGE FORM	INHALANT
ACTIVE INGREDIENTS	PHENYLEPHRINE BITARTRATE STRENGTH: 0.24 UNITS: MG/SPRAY ISOPROTERENOL HYDROCHLORIDE STRENGTH: 0.16 UNITS: MG/SPRAY
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-08-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ISOPROTERENOL/PHENYLEPHRINE INHALANT
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	DUO-MEDIHALER 450D ORAL INHL
VA PRODUCT IDENTIFIER	I0103
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4006711
EFFECTIVE DATE/TIME	2003-08-01 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE