BPM 4MG/DM 15MG/PSEUDO 45MG/5ML SYRUP,ORAL (15526) VA PRODUCT (50.68)

Name	Value
NAME	BPM 4MG/DM 15MG/PSEUDO 45MG/5ML SYRUP,ORAL
VA GENERIC NAME	BROMPHENHIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP,ORAL
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 45 UNITS: MG/5ML BROMPHENIRAMINE STRENGTH: 4 UNITS: MG/5ML DEXTROMETHORPHAN STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
NATIONAL FORMULARY NAME	BROMPHENHIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE SYRUP,ORAL
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	BPM 4MG/DM 15MG/PSEUDO 45MG/5ML SYRUP
VA PRODUCT IDENTIFIER	B0480
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4015889
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE