DEHYDROCHOLIC AC 125MG/HOMATROPINE 2.5MG/PHENOBARB 8MG TAB (6990) VA PRODUCT (50.68)

Name	Value
NAME	DEHYDROCHOLIC AC 125MG/HOMATROPINE 2.5MG/PHENOBARB 8MG TAB
VA GENERIC NAME	DEHYDROCHOLIC ACID/HOMATROPINE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	DEHYDROCHOLIC ACID STRENGTH: 125 UNITS: MG HOMATROPINE METHYLBROMIDE STRENGTH: 2.5 UNITS: MG PHENOBARBITAL STRENGTH: 8 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEHYDROCHOLIC ACID/HOMATROPINE/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	4007502
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE