B-DONNA 0.1296MG/KAOLIN/PECTIN/30ML SUSP (7464) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 0.1296MG/KAOLIN/PECTIN/30ML SUSP
VA GENERIC NAME	ATROPINE/HYOSCYAMINE/KAOLIN/PECTIN/SCOPOLAMINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0194 UNITS: MG/30ML KAOLIN STRENGTH: 6 UNITS: GM/30ML PECTIN STRENGTH: 142.8 UNITS: MG/30ML HYOSCINE HYDROBROMIDE STRENGTH: 0.0065 UNITS: MG/30ML HYOSCYAMINE SULFATE STRENGTH: 0.1037 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/HYOSCYAMINE/KAOLIN/PECTIN/SCOPOLAMINE LIQUID
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	4007968
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE