SCOT-TUSSIN ORIGINAL SYRUP (10051) VA PRODUCT (50.68)

Name	Value
NAME	SCOT-TUSSIN ORIGINAL SYRUP
VA GENERIC NAME	CAFFEINE/PHENIRAMINE/PHENYLEPHRINE/SODIUM CITRATE/SODIUM SALICYL
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	PHENIRAMINE MALEATE STRENGTH: 13.3 UNITS: MG/5ML CAFFEINE STRENGTH: 25 UNITS: MG/5ML SODIUM SALICYLATE STRENGTH: 83.3 UNITS: MG/5ML PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 4.2 UNITS: MG/5ML SODIUM CITRATE STRENGTH: 83.3 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CAFFEINE/PHENIRAMINE/PHENYLEPHRINE/SODIUM CITRATE/SODIUM SALICYL 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010436
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE