OPIUM 1.2MG/BI SUBGALLATE/KAOLIN/PECTIN/ZN PHENOLSULFONATE TAB (6218) VA PRODUCT (50.68)

Name	Value
NAME	OPIUM 1.2MG/BI SUBGALLATE/KAOLIN/PECTIN/ZN PHENOLSULFONATE TAB
VA GENERIC NAME	BISMUTH SUBGALLATE/KAOLIN/OPIUM/PECTIN/ZINC PHENOSULFONATE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	KAOLIN STRENGTH: 120 UNITS: MG PECTIN STRENGTH: 15 UNITS: MG OPIUM STRENGTH: 1.2 UNITS: MG BISMUTH SUBGALLATE STRENGTH: 120 UNITS: MG ZINC PHENOLSULFONATE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH SUBGALLATE/KAOLIN/OPIUM/PECTIN/ZINC PHENOSULFONATE TAB
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	4006739
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE