AMINOPHYLLINE 100MG/PHENOBARBITAL 15MG TAB (6354) VA PRODUCT (50.68)

Name	Value
NAME	AMINOPHYLLINE 100MG/PHENOBARBITAL 15MG TAB
VA GENERIC NAME	AMINOPHYLLINE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENOBARBITAL STRENGTH: 15 UNITS: MG AMINOPHYLLINE STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMINOPHYLLINE/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	AMINOPHYLLINE 100/PHENOBARBITAL 15MG TAB
VA PRODUCT IDENTIFIER	A0822
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006874
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE