DEXTROMETHORPHAN 60MG/GUAIFENESIN 1200MG TAB,SA (15497) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN 60MG/GUAIFENESIN 1200MG TAB,SA
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	DEXTROMETHORPHAN STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 1200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN 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	DEXTROMETHORPHAN 60MG/GG 1200MG SA TAB
VA PRODUCT IDENTIFIER	D0573
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4015860
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE