CARBETAPENTANE 30MG/P-EPHRINE 5MG/PYRILAMINE 30MG/5ML SUSP,ORAL (17482) VA PRODUCT (50.68)

Name	Value
NAME	CARBETAPENTANE 30MG/P-EPHRINE 5MG/PYRILAMINE 30MG/5ML SUSP,ORAL
VA GENERIC NAME	CARBETAPENTANE/PHENYLEPHRINE/PYRILAMINE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	CARBETAPENTANE STRENGTH: 30 UNITS: MG/5ML PYRILAMINE STRENGTH: 30 UNITS: MG/5ML PHENYLEPHRINE STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	CARBETAPENTANE/PHENYLEPHRINE/PYRILAMINE 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	CARBET 30/P-EPHRINE 5/PYRIL 30/5ML SUSP
VA PRODUCT IDENTIFIER	C1238
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4024983
EFFECTIVE DATE/TIME	2006-03-28 00:00:00 STATUS: ACTIVE