ACETAMINOPHEN 500MG/DM 15MG/DOXYLAMINE 6.25MG/15ML LIQUID (18250) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/DM 15MG/DOXYLAMINE 6.25MG/15ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG/15ML DOXYLAMINE STRENGTH: 6.25 UNITS: MG/15ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/15ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-02-23 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE 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 500/DM 15/DOXYLAM 6.25MG/15ML LIQ
VA PRODUCT IDENTIFIER	A1353
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4026000
EFFECTIVE DATE/TIME	2007-04-25 00:00:00 STATUS: ACTIVE 2009-02-23 00:00:00 STATUS: INACTIVE