ERGOTAMINE 0.3MG/HYOSCYAMINE 0.1MG/PHENOBARB 20MG TAB (6841) VA PRODUCT (50.68)

Name	Value
NAME	ERGOTAMINE 0.3MG/HYOSCYAMINE 0.1MG/PHENOBARB 20MG TAB
VA GENERIC NAME	ERGOTAMINE/HYOSCYAMINE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ERGOTAMINE TARTRATE STRENGTH: 0.3 UNITS: MG PHENOBARBITAL STRENGTH: 20 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ERGOTAMINE/HYOSCYAMINE/PHENOBARBITAL 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	4007355
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE