HYDROCODONE 5MG/K GUAIACOLSULFONATE 300MG/5ML LIQUID (7572) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/K GUAIACOLSULFONATE 300MG/5ML LIQUID
VA GENERIC NAME	HYDROCODONE/POTASSIUM GUAIACOLSULFONATE
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG/5ML POTASSIUM GUAIACOLSULFONATE STRENGTH: 300 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2009-12-01 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	HYDROCODONE/POTASSIUM GUAIACOLSULFONATE LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4008072
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-12-01 00:00:00 STATUS: INACTIVE