CHLORPHENIRAMINE 2MG/DEXTROMETHORPHAN 15MG/5ML LIQUID (10042) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 2MG/DEXTROMETHORPHAN 15MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 10 UNITS: % CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN LIQUID
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	CTM 2/DEXTROMETHORPHAN 15MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0411
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010429
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE