OPIUM 14.8MG/BISMUTH/KAOLIN/PECTIN/K CITRATE/SALOL/30ML LIQ (7007) VA PRODUCT (50.68)

Name	Value
NAME	OPIUM 14.8MG/BISMUTH/KAOLIN/PECTIN/K CITRATE/SALOL/30ML LIQ
VA GENERIC NAME	BISMUTH/KAOLIN/OPIUM/PECTIN/POTASSIUM/SALOL/ZINC
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	KAOLIN STRENGTH: 9.8 UNITS: GM/30ML PECTIN STRENGTH: 240 UNITS: MG/30ML POTASSIUM CITRATE STRENGTH: 240 UNITS: MG/30ML OPIUM STRENGTH: 14.8 UNITS: MG/30ML ALCOHOL STRENGTH: 5 UNITS: % BISMUTH SUBSALICYLATE STRENGTH: 130 UNITS: MG/30ML ZINC SULFOCARBONATE STRENGTH: 60 UNITS: MG/30ML SALOL STRENGTH: 15 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BISMUTH/KAOLIN/OPIUM/PECTIN/POTASSIUM/SALOL/ZINC LIQUID,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	4007519
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE