AMYLASE/CELLULASE/HOMATROPINE/PHENOBARB 8MG/PROTEASE TAB (6672)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE/CELLULASE/HOMATROPINE/PHENOBARB 8MG/PROTEASE TAB
VA GENERIC NAME AMYLASE/CELLULASE/HOMATROPINE/PHENOBARBITAL/PROTEASE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-03 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME AMYLASE/CELLULASE/HOMATROPINE/PHENOBARBITAL/PROTEASE 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 4007188
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE