CIT AC/IPECAC 0.17MIN/K GUAIACOLSULF 44MG/PROMETH 5MG/NA CIT/5ML (6816) VA PRODUCT (50.68)

Name	Value
NAME	CIT AC/IPECAC 0.17MIN/K GUAIACOLSULF 44MG/PROMETH 5MG/NA CIT/5ML
VA GENERIC NAME	CITRIC/IPECAC/POTASSIUM/PROMETHAZINE/SODIUM
DOSAGE FORM	SYRUP
DOT SHIPPING CODE
ACTIVE INGREDIENTS	POTASSIUM GUAIACOLSULFONATE STRENGTH: 44 UNITS: MG ALCOHOL STRENGTH: 7 UNITS: % IPECAC FLUIDEXTRACT STRENGTH: 0.17 UNITS: MIN CITRIC ACID,ANHYDROUS STRENGTH: 60 UNITS: MG/5ML PROMETHAZINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG SODIUM CITRATE STRENGTH: 197 UNITS: MG CITRIC ACID STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2004-11-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CITRIC/IPECAC/POTASSIUM/PROMETHAZINE/SODIUM 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	NO
VUID	4007332
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-12-08 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE 2004-11-18 00:00:00 STATUS: INACTIVE