ATROPINE SO4 0.21MG/PHENOBARBITAL 16.2MG TAB (6254) VA PRODUCT (50.68)

Name	Value
NAME	ATROPINE SO4 0.21MG/PHENOBARBITAL 16.2MG TAB
VA GENERIC NAME	ATROPINE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.216 UNITS: MG PHENOBARBITAL STRENGTH: 16.2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ATROPINE/PHENOBARBITAL 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
VA PRINT NAME	ATROPINE 0.21/PHENOBARBITAL 16.2MG TAB
VA PRODUCT IDENTIFIER	A0935
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006774
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE