CETIRIZINE HCL 5MG/PSEUDOEPHEDRINE HCL 120MG TAB,SA (15314) VA PRODUCT (50.68)

Name	Value
NAME	CETIRIZINE HCL 5MG/PSEUDOEPHEDRINE HCL 120MG TAB,SA
VA GENERIC NAME	CETIRIZINE/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	CETIRIZINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CETIRIZINE/PSEUDOEPHEDRINE 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	CETIRIZINE 5MG/PSEUDO 120MG SA TAB
VA PRODUCT IDENTIFIER	C1019
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4015678
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE