B-DONNA/PANCREATIN/PEPSIN/PHENOBARB 8MG TAB (6844) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA/PANCREATIN/PEPSIN/PHENOBARB 8MG TAB
VA GENERIC NAME	HOMATROPINE/HYOSCYAMINE/PANCREATIN/PEPSIN/PHENOBARBITAL/SCOPOLAM
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PANCREATIN STRENGTH: 300 UNITS: MG PEPSIN STRENGTH: 150 UNITS: MG HOMATROPINE METHYLBROMIDE STRENGTH: 0.2885 UNITS: MG PHENOBARBITAL STRENGTH: 8.1 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.0519 UNITS: MG SCOPOLAMINE HYDROBROMIDE STRENGTH: 0.0033 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	HOMATROPINE/HYOSCYAMINE/PANCREATIN/PEPSIN/PHENOBARBITAL/SCOPOLAM 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	4007358
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE