EPHEDRINE 48MG/PHENOBARB 25MG/THEOPHYLLINE 180MG TAB,SA (6627) VA PRODUCT (50.68)

Name	Value
NAME	EPHEDRINE 48MG/PHENOBARB 25MG/THEOPHYLLINE 180MG TAB,SA
VA GENERIC NAME	EPHEDRINE/PHENOBARBITAL/THEOPHYLLINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	EPHEDRINE HYDROCHLORIDE STRENGTH: 48 UNITS: MG PHENOBARBITAL STRENGTH: 25 UNITS: MG THEOPHYLLINE STRENGTH: 180 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	EPHEDRINE/PHENOBARBITAL/THEOPHYLLINE TAB,SA
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	4007143
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE