PHENOBARBITAL 20MG/5ML ELIXIR (96)    VA PRODUCT (50.68)

Name Value
NAME PHENOBARBITAL 20MG/5ML ELIXIR
VA GENERIC NAME PHENOBARBITAL
DOSAGE FORM ELIXIR
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule IV
STRENGTH 20
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/5ML
DSS NUMBER 5
NATIONAL FORMULARY NAME PHENOBARBITAL ELIXIR
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME PHENOBARBITAL 20MG/5ML ELIXIR
VA PRODUCT IDENTIFIER P0560
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4000719
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE