AMMONIUM CL 130MG/K GUAIACOLSULF 130MG/TERPIN HYDRATE 65MG TAB (7000) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM CL 130MG/K GUAIACOLSULF 130MG/TERPIN HYDRATE 65MG TAB
VA GENERIC NAME	AMMONIUM CHLORIDE/POTASSIUM GUAIACOLSULFONATE/TERPIN HYDRATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	TERPIN HYDRATE STRENGTH: 65 UNITS: MG AMMONIUM CHLORIDE STRENGTH: 130 UNITS: MG POTASSIUM GUAIACOLSULFONATE STRENGTH: 130 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIUM CHLORIDE/POTASSIUM GUAIACOLSULFONATE/TERPIN HYDRATE 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	4007512
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE