APAP 261MG/CAFN 32MG/GG 100MG/P-EPHRINE 5MG TAB (10201) VA PRODUCT (50.68)

Name	Value
NAME	APAP 261MG/CAFN 32MG/GG 100MG/P-EPHRINE 5MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 261 UNITS: MG CAFFEINE STRENGTH: 32 UNITS: MG PHENYLEPHRINE STRENGTH: 5 UNITS: MG GUAIFENESIN STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/GUAIFENESIN/PHENYLEPHRINE 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 261/CAFF 32/GG 100/PHENYLEPH 5MG TB
VA PRODUCT IDENTIFIER	A0678
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010576
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE