AT SO4 0.0194MG/PHENOBARB 16MG/SCOPOLAMINE 0.0065MG LIQUID (6932) VA PRODUCT (50.68)

Name	Value
NAME	AT SO4 0.0194MG/PHENOBARB 16MG/SCOPOLAMINE 0.0065MG LIQUID
VA GENERIC NAME	ATROPINE/PHENOBARBITAL/SCOPOLAMINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0194 UNITS: MG PHENOBARBITAL STRENGTH: 16.2 UNITS: MG ALCOHOL,DENATURED STRENGTH: 23 UNITS: % SCOPOLAMINE HYDROBROMIDE STRENGTH: 0.0065 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-03-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/PHENOBARBITAL/SCOPOLAMINE LIQUID
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	4007444
EFFECTIVE DATE/TIME	2003-03-19 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE