CODEINE 12MG/APAP 325MG/GG 100MG/P-PROPANOL 25MG TAB (6679) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 12MG/APAP 325MG/GG 100MG/P-PROPANOL 25MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CODEINE/GUAIFENESIN/PHENYLPROPANOLAMINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	YES
WASTE SORT CODE	DEA
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG CODEINE PHOSPHATE STRENGTH: 12 UNITS: MG GUAIFENESIN STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CODEINE/GUAIFENESIN/PHENYLPROPANOLAMINE 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	4007195
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE