DM 60MG/GG 1200MG/P-PROPANOL 75MG TAB,SA (14278) VA PRODUCT (50.68)

Name	Value
NAME	DM 60MG/GG 1200MG/P-PROPANOL 75MG TAB,SA
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN/PHENYLPROPANOLAMINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PHENYLPROPANOLAMINE STRENGTH: 75 UNITS: MG DEXTROMETHORPHAN STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 1200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN/PHENYLPROPANOLAMINE TAB,SA
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	DM 60MG/GG 1200MG/P-PROPANOL 75MG SA TAB
VA PRODUCT IDENTIFIER	D0506
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4014642
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE