CHLORPHENIRAMINE MALEATE 12MG CAP,SA (1959)    VA PRODUCT (50.68)

Name Value
NAME CHLORPHENIRAMINE MALEATE 12MG CAP,SA
VA GENERIC NAME CHLORPHENIRAMINE
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12
INACTIVATION DATE 2011-01-06 00:00:00
UNITS MG
DSS NUMBER 3
NATIONAL FORMULARY NAME CHLORPHENIRAMINE CAP,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 CHLORPHENIRAMINE MALEATE 12MG SA CAP
VA PRODUCT IDENTIFIER C0221
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4002544
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-01-06 00:00:00
    STATUS:   INACTIVE