ATROPINE SO4 0.195MG/PHENOBARBITAL 16MG CAP (6252) VA PRODUCT (50.68)

Name	Value
NAME	ATROPINE SO4 0.195MG/PHENOBARBITAL 16MG CAP
VA GENERIC NAME	ATROPINE/PHENOBARBITAL
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.195 UNITS: MG PHENOBARBITAL STRENGTH: 16 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ATROPINE/PHENOBARBITAL 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
VA PRINT NAME	ATROPINE 0.195/PHENOBARBITAL 16MG CAP
VA PRODUCT IDENTIFIER	A0932
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006772
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE