B-DONNA 0.083MG/CTM 1.5MG/P-EPHRINE 5MG TAB (7241) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 0.083MG/CTM 1.5MG/P-EPHRINE 5MG TAB
VA GENERIC NAME	ATROPINE/CHLORPHENIRAMINE/HYOSCYAMINE/PHENYLEPHRINE/SCOPOLAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 12.5 UNITS: MCG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 1.5 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 63.2 UNITS: MCG SCOPOLAMINE HYDROBROMIDE STRENGTH: 7.3 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-03-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/CHLORPHENIRAMINE/HYOSCYAMINE/PHENYLEPHRINE/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	4007749
EFFECTIVE DATE/TIME	2003-03-19 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE