CFN 30MG/PHENACETIN 150MG/SALICYLAMIDE 210MG/STYRAMATE 200MG TAB (9572) VA PRODUCT (50.68)

Name	Value
NAME	CFN 30MG/PHENACETIN 150MG/SALICYLAMIDE 210MG/STYRAMATE 200MG TAB
VA GENERIC NAME	CAFFEINE/PHENACETIN/SALICYLAMIDE/STYRAMATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CAFFEINE STRENGTH: 30 UNITS: MG SALICYLAMIDE STRENGTH: 210 UNITS: MG PHENACETIN STRENGTH: 150 UNITS: MG STYRAMATE STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-29 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CAFFEINE/PHENACETIN/SALICYLAMIDE/STYRAMATE 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	4009987
EFFECTIVE DATE/TIME	2002-10-29 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE