EPHEDRINE 24MG/GG 100MG/THEOPHYLLINE 100MG TAB (9446) VA PRODUCT (50.68)

Name	Value
NAME	EPHEDRINE 24MG/GG 100MG/THEOPHYLLINE 100MG TAB
VA GENERIC NAME	EPHEDRINE/GUAIFENESIN/THEOPHYLLINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	EPHEDRINE SULFATE STRENGTH: 24 UNITS: MG THEOPHYLLINE STRENGTH: 100 UNITS: MG GUAIFENESIN STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	EPHEDRINE/GUAIFENESIN/THEOPHYLLINE 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	4009868
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE