OPIUM 3MG/BI SUBCARBONATE/KAOLIN/PECTIN CAP (6994) VA PRODUCT (50.68)

Name	Value
NAME	OPIUM 3MG/BI SUBCARBONATE/KAOLIN/PECTIN CAP
VA GENERIC NAME	BISMUTH SUBCARBONATE/KAOLIN/OPIUM/PECTIN
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	KAOLIN STRENGTH: 350 UNITS: MG PECTIN OPIUM STRENGTH: 3 UNITS: MG BISMUTH SUBCARBONATE STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH SUBCARBONATE/KAOLIN/OPIUM/PECTIN CAP,ORAL
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	4007506
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE