ISONIAZID 50MG/PYRIDOXINE HCL 2.5MG/5ML SYRUP (6623) VA PRODUCT (50.68)

Name	Value
NAME	ISONIAZID 50MG/PYRIDOXINE HCL 2.5MG/5ML SYRUP
VA GENERIC NAME	ISONIAZID/PYRIDOXINE
DOSAGE FORM	SYRUP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PYRIDOXINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG/5ML ISONIAZID STRENGTH: 50 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ISONIAZID/PYRIDOXINE SYRUP
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	4007139
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE