APAP 108MG/DM 3.3MG/PHENYLEPHRINE 1.6MG/5ML LIQUID,ORAL (18224) VA PRODUCT (50.68)

Name	Value
NAME	APAP 108MG/DM 3.3MG/PHENYLEPHRINE 1.6MG/5ML LIQUID,ORAL
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 108 UNITS: MG/5ML PHENYLEPHRINE STRENGTH: 1.6 UNITS: MG/5ML DEXTROMETHORPHAN STRENGTH: 3.3 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE 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	APAP 108/DM 3.3/P-EPHRINE 1.6MG/5ML LIQ
VA PRODUCT IDENTIFIER	A1350
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4025974
EFFECTIVE DATE/TIME	2007-04-25 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE