B-DONNA 0.2016MG/KAOLIN 6GM/PECTIN 143MG/30ML SUSP (7465) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 0.2016MG/KAOLIN 6GM/PECTIN 143MG/30ML SUSP
VA GENERIC NAME	ATROPINE/HYOSCYAMINE/KAOLIN/PECTIN/SCOPOLAMINE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0914 UNITS: MG/30ML KAOLIN STRENGTH: 6 UNITS: GM/30ML PECTIN STRENGTH: 142.8 UNITS: MG/30ML HYOSCYAMINE SULFATE STRENGTH: 0.1037 UNITS: MG/30ML SCOPOLAMINE HYDROBROMIDE STRENGTH: 0.0065 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ATROPINE/HYOSCYAMINE/KAOLIN/PECTIN/SCOPOLAMINE SUSP
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	4007969
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE