ALLERX DOSE PACK TAB,20 (17538) VA PRODUCT (50.68)

Name	Value
NAME	ALLERX DOSE PACK TAB,20
VA GENERIC NAME	CHLORPHENIRAMINE/METHSCOPOLAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	METHSCOPOLAMINE NITRATE STRENGTH: 2.5 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 8 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-10-03 00:00:00
NATIONAL FORMULARY NAME	METHSCOPOLAMINE TAB,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	ALLERX DOSE PACK TAB,20
VA PRODUCT IDENTIFIER	A1286
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	KIT
MASTER ENTRY FOR VUID	YES
VUID	4025039
EFFECTIVE DATE/TIME	2006-03-28 00:00:00 STATUS: ACTIVE 2012-10-03 00:00:00 STATUS: INACTIVE