APAP 150MG/CAFN 30MG/SALICYLAMIDE 230MG TAB (9618) VA PRODUCT (50.68)

Name	Value
NAME	APAP 150MG/CAFN 30MG/SALICYLAMIDE 230MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/SALICYLAMIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 150 UNITS: MG CAFFEINE STRENGTH: 30 UNITS: MG SALICYLAMIDE STRENGTH: 230 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-29 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/SALICYLAMIDE 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
VA PRINT NAME	APAP 150/CAFF 30/SALICYLAMIDE 230MG TAB
VA PRODUCT IDENTIFIER	A0671
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010032
EFFECTIVE DATE/TIME	2002-10-29 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE