AMMONIUM CHLORIDE 22MG/IPECAC 0.24MG/5ML LIQUID (9453) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM CHLORIDE 22MG/IPECAC 0.24MG/5ML LIQUID
VA GENERIC NAME	AMMONIUM CHLORIDE/IPECAC
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	AMMONIUM CHLORIDE STRENGTH: 22 UNITS: MG/5ML IPECAC ALKALOIDS STRENGTH: 0.24 UNITS: MG/5ML TOLU BALSAM SYRUP
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIUM CHLORIDE/IPECAC LIQUID
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
VA PRINT NAME	AMMONIUM CL 22/IPECAC 0.24MG/5ML LIQ
VA PRODUCT IDENTIFIER	A0235
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009875
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE