DIPHENHYDRAMINE 7.5MG/PHENYLEPHRINE 25MG/5ML SUSP,SA (16584) VA PRODUCT (50.68)

Name	Value
NAME	DIPHENHYDRAMINE 7.5MG/PHENYLEPHRINE 25MG/5ML SUSP,SA
VA GENERIC NAME	DIPHENHYDRAMINE/PHENYLEPHRINE
DOSAGE FORM	SUSP,SA
ACTIVE INGREDIENTS	PHENYLEPHRINE TANNATE STRENGTH: 7.5 UNITS: MG/5ML DIPHENHYDRAMINE STRENGTH: 25 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-18 00:00:00
NATIONAL FORMULARY NAME	DIPHENHYDRAMINE/PHENYLEPHRINE SUSP,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	D-HYDRAM 25/P-EPHRINE 7.5MG/5ML SA SUSP
VA PRODUCT IDENTIFIER	D0627
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4016947
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-18 00:00:00 STATUS: INACTIVE