AMINOPHYLLINE 120MG/EPHEDRINE 24MG/PHENOBARB 24MG CAP (6352) VA PRODUCT (50.68)

Name	Value
NAME	AMINOPHYLLINE 120MG/EPHEDRINE 24MG/PHENOBARB 24MG CAP
VA GENERIC NAME	AMINOPHYLLINE/EPHEDRINE/PHENOBARBITAL
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	EPHEDRINE HYDROCHLORIDE STRENGTH: 24 UNITS: MG PHENOBARBITAL STRENGTH: 24 UNITS: MG AMINOPHYLLINE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMINOPHYLLINE/EPHEDRINE/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	AMINOPHYLLINE 120/EPHED 24/PB 24MG CAP
VA PRODUCT IDENTIFIER	A0824
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006872
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE