AMMONIUM CL/GLYCYRRHIZA/HYOSCYAMUS 8MG/PB 8MG/TERPIN HYDRATE LOZ (7410) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM CL/GLYCYRRHIZA/HYOSCYAMUS 8MG/PB 8MG/TERPIN HYDRATE LOZ
VA GENERIC NAME	AMMONIUM CHLORIDE/GLYCYRRHIZA/HYOSCYAMUS/PHENOBARBITAL/TERPIN HY
DOSAGE FORM	LOZENGE
ACTIVE INGREDIENTS	TERPIN HYDRATE STRENGTH: 160 UNITS: MG AMMONIUM CHLORIDE STRENGTH: 160 UNITS: MG PHENOBARBITAL STRENGTH: 8 UNITS: MG HYOSCYAMUS STRENGTH: 8 UNITS: MG GLYCYRRHIZA STRENGTH: 160 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIUM CHLORIDE/GLYCYRRHIZA/HYOSCYAMUS/PHENOBARBITAL/TERPIN HY LOZENGE
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	4007915
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE