ASA 650MG/CAFN 32MG/SALICYLAMIDE 195MG PWDR (9772) VA PRODUCT (50.68)

Name	Value
NAME	ASA 650MG/CAFN 32MG/SALICYLAMIDE 195MG PWDR
VA GENERIC NAME	ASPIRIN/CAFFEINE/SALICYLAMIDE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	ASPIRIN STRENGTH: 650 UNITS: MG CAFFEINE STRENGTH: 32 UNITS: MG SALICYLAMIDE STRENGTH: 195 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ASPIRIN/CAFFEINE/SALICYLAMIDE POWDER,ORAL
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	ASA 650/CAFF 32/SALICYLAMIDE 195MG PWDR
VA PRODUCT IDENTIFIER	A1243
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4010181
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE