CODEINE 10MG/GUAIFENESIN 300MG/5ML (AF&SF) LIQUID (18912) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/GUAIFENESIN 300MG/5ML (AF&SF) LIQUID
VA GENERIC NAME	CODEINE/GUAIFENESIN
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CODEINE STRENGTH: 10 UNITS: MG/5ML GUAIFENESIN STRENGTH: 300 UNITS: MG/5ML
NATIONAL FORMULARY NAME	CODEINE/GUAIFENESIN 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	YES
PGX SUPPRESSED	YES
VA PRINT NAME	CODEINE 10MG/GG 300MG/5ML (AF&SF) LIQUID
VA PRODUCT IDENTIFIER	C1305
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4026750
EFFECTIVE DATE/TIME	2007-12-20 00:00:00 STATUS: ACTIVE