ATROPINE SO4 0.195MG/PHENOBARBITAL 15MG/5ML ELIXIR (6253) VA PRODUCT (50.68)

Name	Value
NAME	ATROPINE SO4 0.195MG/PHENOBARBITAL 15MG/5ML ELIXIR
VA GENERIC NAME	ATROPINE/PHENOBARBITAL
DOSAGE FORM	ELIXIR
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.195 UNITS: MG/5ML PHENOBARBITAL STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ATROPINE/PHENOBARBITAL ELIXIR
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/PHENOBARB 15MG/5ML ELIX
VA PRODUCT IDENTIFIER	A0931
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006773
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE