PROMETHAZINE HCL 12.5MG/5ML SYRUP (1913) VA PRODUCT (50.68)

Name	Value
NAME	PROMETHAZINE HCL 12.5MG/5ML SYRUP
VA GENERIC NAME	PROMETHAZINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 7 UNITS: % PROMETHAZINE HYDROCHLORIDE STRENGTH: 12.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	6.25
INACTIVATION DATE	2002-09-25 00:00:00
UNITS	MG/5ML
DSS NUMBER	12
NATIONAL FORMULARY NAME	PROMETHAZINE SYRUP
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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4002498
EFFECTIVE DATE/TIME	2002-09-25 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE