ASA 260MG/CAFN 16MG/GELSEMIUM/HYOSCYAMUS TAB (6933)    VA PRODUCT (50.68)

Name Value
NAME ASA 260MG/CAFN 16MG/GELSEMIUM/HYOSCYAMUS TAB
VA GENERIC NAME ASPIRIN/CAFFEINE/GELSEMIUM/HYOSCYAMUS
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-10-29 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ASPIRIN/CAFFEINE/GELSEMIUM/HYOSCYAMUS 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 4007445
EFFECTIVE DATE/TIME
  • 2002-10-29 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE