CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 10MG TAB (18637)    VA PRODUCT (50.68)

Name Value
NAME CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CHLORPHENIRAMINE/PHENYLEPHRINE TAB
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 4/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER C1293
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4026437
EFFECTIVE DATE/TIME
  • 2007-08-30 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE
  • 2010-10-13 00:00:00
    STATUS:   ACTIVE