DEXCHLORPHENIRAMINE 2.5/DM 25/PSEUDEFED 75MG/5ML SUSP (16560)    VA PRODUCT (50.68)

Name Value
NAME DEXCHLORPHENIRAMINE 2.5/DM 25/PSEUDEFED 75MG/5ML SUSP
VA GENERIC NAME DEXCHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM SUSP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-07-08 00:00:00
NATIONAL FORMULARY NAME DEXCHLORPHENIRAMINE/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 DEXCHLOR 2.5/DM 25/PSEUDEF 75/5ML SUSP
VA PRODUCT IDENTIFIER D0624
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4016923
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-07-08 00:00:00
    STATUS:   INACTIVE