B-DONNA/BUTABARB 7.5MG/OX BILE/PEPSIN TAB (7240) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA/BUTABARB 7.5MG/OX BILE/PEPSIN TAB
VA GENERIC NAME	ATROPINE/BUTABARBITAL/HYOSCYAMINE/OX BILE/PEPSIN/SCOPOLAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.02 UNITS: MG PEPSIN STRENGTH: 125 UNITS: MG OX BILE EXTRACT STRENGTH: 30 UNITS: MG BUTABARBITAL SODIUM STRENGTH: 7.5 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.1 UNITS: MG SCOPOLAMINE HYDROBROMIDE STRENGTH: 0.007 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/BUTABARBITAL/HYOSCYAMINE/OX BILE/PEPSIN/SCOPOLAMINE 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	4007748
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE