CTM 1MG/GG 100MG/P-EPHRIN 3.5MG/P-PROPANOL 6MG/PYRILAMIN 6MG TAB (10066) VA PRODUCT (50.68)

Name	Value
NAME	CTM 1MG/GG 100MG/P-EPHRIN 3.5MG/P-PROPANOL 6MG/PYRILAMIN 6MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE/P
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 3.5 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 6 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG GUAIFENESIN STRENGTH: 100 UNITS: MG PYRILAMINE MALEATE STRENGTH: 6 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE/P 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4010451
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE