CTM 1MG/DM 5MG/P-PROPANOLAMINE 6.25MG/5ML LIQUID (13848) VA PRODUCT (50.68)

Name	Value
NAME	CTM 1MG/DM 5MG/P-PROPANOLAMINE 6.25MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLPROPANOLAMINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	PHENYLPROPANOLAMINE STRENGTH: 6.25 UNITS: MG/5ML CHLORPHENIRAMINE STRENGTH: 1 UNITS: MG/5ML DEXTROMETHORPHAN STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLPROPANOLAMINE 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 1/DM 5/P-PROPANOL 6.25MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0943
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4014212
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE