CTM 4.5MG/DM 25MG/PSEUDEFED 75MG/5ML SUSP (15979) VA PRODUCT (50.68)

Name	Value
NAME	CTM 4.5MG/DM 25MG/PSEUDEFED 75MG/5ML SUSP
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	CHLORPHENIRAMINE TANNATE STRENGTH: 4.5 UNITS: MG/5ML PSEUDOEPHEDRINE STRENGTH: 75 UNITS: MG/5ML DEXTROMETHORPHAN STRENGTH: 25 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-06-12 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE SUSP,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	CTM 4.5/DM 25/PSEUDEFED 75MG/5ML SUSP
VA PRODUCT IDENTIFIER	C1065
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4016342
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-06-12 00:00:00 STATUS: INACTIVE