DM 30MG/GG 1200MG/P-EPHRINE 30MG TAB,SA (17978) VA PRODUCT (50.68)

Name	Value
NAME	DM 30MG/GG 1200MG/P-EPHRINE 30MG TAB,SA
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 30 UNITS: MG DEXTROMETHORPHAN STRENGTH: 30 UNITS: MG GUAIFENESIN STRENGTH: 1200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-01-08 00:00:00
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE 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	DM 30MG/GG 1200MG/P-EPHRINE 30MG SA TAB
VA PRODUCT IDENTIFIER	D0723
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4025680
EFFECTIVE DATE/TIME	2006-10-11 00:00:00 STATUS: ACTIVE 2010-01-08 00:00:00 STATUS: INACTIVE