APAP 325MG/CAFN 30MG/HYOSCYAMUS 8MG CAP (7402) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/CAFN 30MG/HYOSCYAMUS 8MG CAP
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/HYOSCYAMUS
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG CAFFEINE STRENGTH: 30 UNITS: MG HYOSCYAMUS EXTRACT STRENGTH: 8 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-29 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/HYOSCYAMUS CAP,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
VA PRINT NAME	APAP 325/CAFF 30/HYOSCYAMUS 8MG CAP
VA PRODUCT IDENTIFIER	A0334
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4007907
EFFECTIVE DATE/TIME	2002-10-29 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE