CTM 8MG/METHSCOPOLAMINE 2.5MG/P-EPHRINE 40MG TAB,SA (18284)    VA PRODUCT (50.68)

Name Value
NAME CTM 8MG/METHSCOPOLAMINE 2.5MG/P-EPHRINE 40MG TAB,SA
VA GENERIC NAME CHLORPHENIRAMINE/METHSCOPOLAMINE/PHENYLEPHRINE
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2017-02-16 00:00:00
NATIONAL FORMULARY NAME CHLORPHENIRAMINE/METHSCOPOLAMINE/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 CTM 8/M-SCOPOL 2.5/P-EPHRINE 40MG SA TAB
VA PRODUCT IDENTIFIER C1274
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4026048
EFFECTIVE DATE/TIME
  • 2007-05-23 00:00:00
    STATUS:   ACTIVE