APAP 500MG/DM 10MG/DOXYLAMINE 6.25MG/PSEUDEFED 30MG/15ML LIQUID (16952) VA PRODUCT (50.68)

Name	Value
NAME	APAP 500MG/DM 10MG/DOXYLAMINE 6.25MG/PSEUDEFED 30MG/15ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG/15ML PSEUDOEPHEDRINE STRENGTH: 30 UNITS: MG/15ML DOXYLAMINE STRENGTH: 6.25 UNITS: MG/15ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE LIQUID,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	APAP 500/DM 10/DOXY 6.25/PSEUD 30MG/15ML
VA PRODUCT IDENTIFIER	A1241
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4017315
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE