CAFFEINE 200MG TAB (9546) VA PRODUCT (50.68)

Name	Value
NAME	CAFFEINE 200MG TAB
VA GENERIC NAME	CAFFEINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PROPYLENE GLYCOL HYDROXYPROPYL METHYLCELLULOSE CAFFEINE STRENGTH: 200 UNITS: MG TITANIUM DIOXIDE SUCROSE CELLULOSE,MICROCRYSTALLINE CORN STARCH F D & C BLUE #1 FLAVOR SIMETHICONE EMULSION STEARIC ACID BENZOIC ACID
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	200
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	MG
DSS NUMBER	3
NATIONAL FORMULARY NAME	CAFFEINE 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	4009963
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE