CA GLUCONATE 130MG/NIACINAMIDE 3MG/PHENOBARB 160MG TAB (7504) VA PRODUCT (50.68)

Name	Value
NAME	CA GLUCONATE 130MG/NIACINAMIDE 3MG/PHENOBARB 160MG TAB
VA GENERIC NAME	CALCIUM GLUCONATE/NIACINAMIDE/PHENOBARBITAL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENOBARBITAL STRENGTH: 160 UNITS: MG NIACINAMIDE STRENGTH: 3 UNITS: MG CALCIUM GLUCONATE STRENGTH: 130 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	CALCIUM GLUCONATE/NIACINAMIDE/PHENOBARBITAL 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	4008008
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE