GUAIFENESIN 400MG/PHENYLEPHRINE 30MG CAP,SA (17349) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 400MG/PHENYLEPHRINE 30MG CAP,SA
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 30 UNITS: MG GUAIFENESIN STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-07-08 00:00:00
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE CAP,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	GG 400MG/PHENYLEPHRINE 30MG SA CAP
VA PRODUCT IDENTIFIER	G0264
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4024781
EFFECTIVE DATE/TIME	2006-01-24 00:00:00 STATUS: ACTIVE 2010-07-08 00:00:00 STATUS: INACTIVE