PAREGORIC 3.75ML/BI SUBSALICYLATE/KAOLIN/PECTIN/30ML SUSP (6999) VA PRODUCT (50.68)

Name	Value
NAME	PAREGORIC 3.75ML/BI SUBSALICYLATE/KAOLIN/PECTIN/30ML SUSP
VA GENERIC NAME	BISMUTH SUBSALICYLATE/KAOLIN/OPIUM/PECTIN
DOSAGE FORM	SUSP
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	KAOLIN STRENGTH: 3.9 UNITS: GM/30ML PECTIN STRENGTH: 194.4 UNITS: MG/30ML PAREGORIC STRENGTH: 3.75 UNITS: ML/30ML BISMUTH SUBSALICYLATE
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BISMUTH SUBSALICYLATE/KAOLIN/OPIUM/PECTIN SUSP
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	4007511
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE