HYOSCYAMINE SO4 0.375MG/PHENOBARBITAL 45MG CAP,SA (6205) VA PRODUCT (50.68)

Name	Value
NAME	HYOSCYAMINE SO4 0.375MG/PHENOBARBITAL 45MG CAP,SA
VA GENERIC NAME	HYOSCYAMINE/PHENOBARBITAL
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	PHENOBARBITAL STRENGTH: 45 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.375 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	HYOSCYAMINE/PHENOBARBITAL CAP,SA
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	4006726
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE