CARBETAPENTANE CITRATE 20MG/GUAIFENESIN 100MG/5ML SYRUP,ORAL (16246)    VA PRODUCT (50.68)

Name Value
NAME CARBETAPENTANE CITRATE 20MG/GUAIFENESIN 100MG/5ML SYRUP,ORAL
VA GENERIC NAME CARBETAPENTANE/GUAIFENESIN
DOSAGE FORM SYRUP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME CARBETAPENTANE/GUAIFENESIN 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 CARBETAPENTANE 20/GG 100MG/5ML SYRUP
VA PRODUCT IDENTIFIER C1110
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4016609
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE