BARBITAL 65MG/HYOSCYAMINE/HYOSCYAMUS/PASSIFLORA/SCOP/VALERIAN TB (6952) VA PRODUCT (50.68)

Name	Value
NAME	BARBITAL 65MG/HYOSCYAMINE/HYOSCYAMUS/PASSIFLORA/SCOP/VALERIAN TB
VA GENERIC NAME	BARBITAL/HYOSCYAMINE/HYOSCYAMUS/PASSION/SCOPOLAMINE/VALERIAN
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYOSCYAMUS STRENGTH: 8 UNITS: MG PASSION FLOWER STRENGTH: 16 UNITS: MG VALERIAN EXTRACT STRENGTH: 16 UNITS: MG BARBITAL STRENGTH: 65 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 4 UNITS: MCG SCOPOLAMINE HYDROBROMIDE STRENGTH: 2 UNITS: MCG
CS FEDERAL SCHEDULE	Schedule IV
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BARBITAL/HYOSCYAMINE/HYOSCYAMUS/PASSION/SCOPOLAMINE/VALERIAN 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	4007464
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE