APAP 240MG/CAFN 16MG/P-PROPANOL 18MG/SALICYLAMIDE 120MG CAP (8465) VA PRODUCT (50.68)

Name	Value
NAME	APAP 240MG/CAFN 16MG/P-PROPANOL 18MG/SALICYLAMIDE 120MG CAP
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/PHENYLPROPANOLAMINE/SALICYLAMIDE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 240 UNITS: MG CAFFEINE STRENGTH: 16 UNITS: MG SALICYLAMIDE STRENGTH: 120 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 18 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/PHENYLPROPANOLAMINE/SALICYLAMIDE CAP,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	4008929
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE