CODEINE 30MG/ASA 380MG/CAFN 30MG CAP (679) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 30MG/ASA 380MG/CAFN 30MG CAP
VA GENERIC NAME	ASPIRIN/CAFFEINE/CODEINE
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ASPIRIN STRENGTH: 380 UNITS: MG CAFFEINE STRENGTH: 30 UNITS: MG CODEINE PHOSPHATE STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASPIRIN/CAFFEINE/CODEINE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001290
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE