| NAME |
AMINOPHYLLINE 130MG/EPHEDRINE 25MG CAP |
| VA GENERIC NAME |
AMINOPHYLLINE/EPHEDRINE |
| DOSAGE FORM |
CAP,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2002-04-04 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
AMINOPHYLLINE/EPHEDRINE CAP,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
AMINOPHYLLINE 130/EPHEDRINE 25MG CAP |
| VA PRODUCT IDENTIFIER |
A0206 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4008128 |
| EFFECTIVE DATE/TIME |
-
- 2002-04-04 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
