AMMONIUM CL 22MG/IPECAC ALK 0.24MG/5ML TOLU BALSAM SYRUP (8474)    VA PRODUCT (50.68)

Name Value
NAME AMMONIUM CL 22MG/IPECAC ALK 0.24MG/5ML TOLU BALSAM SYRUP
VA GENERIC NAME AMMONIUM CHLORIDE/IPECAC/TOLU BALSAM
DOSAGE FORM SYRUP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-04-04 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME AMMONIUM CHLORIDE/IPECAC/TOLU BALSAM SYRUP
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 4008937
EFFECTIVE DATE/TIME
  • 2002-04-04 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE