DIPHENHYDRAMINE 25MG/IBUPROFEN 200MG CAP (18807) VA PRODUCT (50.68)

Name	Value
NAME	DIPHENHYDRAMINE 25MG/IBUPROFEN 200MG CAP
VA GENERIC NAME	DIPHENHYDRAMINE/IBUPROFEN
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	IBUPROFEN STRENGTH: 200 UNITS: MG DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DIPHENHYDRAMINE/IBUPROFEN CAP,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	YES
PGX SUPPRESSED	NO
VA PRINT NAME	DIPHENHYDRAMINE 25MG/IBUPROFEN 200MG CAP
VA PRODUCT IDENTIFIER	D0753
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4026624
EFFECTIVE DATE/TIME	2007-10-10 00:00:00 STATUS: ACTIVE