AMINOPHYLLINE 130MG/EPHEDRINE 16MG/PHENOBARB 8MG/KI 195MG TAB (6256) VA PRODUCT (50.68)

Name	Value
NAME	AMINOPHYLLINE 130MG/EPHEDRINE 16MG/PHENOBARB 8MG/KI 195MG TAB
VA GENERIC NAME	AMINOPHYLLINE/EPHEDRINE/PHENOBARBITAL/POTASSIUM IODIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	EPHEDRINE HYDROCHLORIDE STRENGTH: 16 UNITS: MG PHENOBARBITAL STRENGTH: 8 UNITS: MG POTASSIUM IODIDE STRENGTH: 195 UNITS: MG AMINOPHYLLINE STRENGTH: 130 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMINOPHYLLINE/EPHEDRINE/PHENOBARBITAL/POTASSIUM IODIDE 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	4006776
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE