DEXTROMETHORPHAN HBR 5MG/5ML LIQUID (18223)    VA PRODUCT (50.68)

Name Value
NAME DEXTROMETHORPHAN HBR 5MG/5ML LIQUID
VA GENERIC NAME DEXTROMETHORPHAN
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
INACTIVATION DATE 2007-04-17 00:00:00
UNITS MG/5ML
NATIONAL FORMULARY NAME DEXTROMETHORPHAN 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 DEXTROMETHORPHAN HBR 5MG/5ML LIQUID
VA PRODUCT IDENTIFIER D0745
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4025973
EFFECTIVE DATE/TIME
  • 2007-04-17 00:00:00
    STATUS:   INACTIVE
  • 2007-04-17 00:00:00
    STATUS:   INACTIVE
  • 2007-04-17 00:00:00
    STATUS:   INACTIVE