CA LACT 60MG/GG 60MG/HYOSCYAMUS 6MG/PB 7.5MG/TERPIN HYDRATE TAB (7110) VA PRODUCT (50.68)

Name	Value
NAME	CA LACT 60MG/GG 60MG/HYOSCYAMUS 6MG/PB 7.5MG/TERPIN HYDRATE TAB
VA GENERIC NAME	CALCIUM LACTATE/GUAIFENESIN/HYOSCYAMUS/PHENOBARBITAL/TERPIN HYDR
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	TERPIN HYDRATE STRENGTH: 120 UNITS: MG PHENOBARBITAL STRENGTH: 7.5 UNITS: MG HYOSCYAMUS EXTRACT STRENGTH: 6 UNITS: MG CALCIUM LACTATE STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CALCIUM LACTATE/GUAIFENESIN/HYOSCYAMUS/PHENOBARBITAL/TERPIN HYDR 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	4007620
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE