CHLORPHENIRAMINE 9MG/PHENYLEPHRINE 25MG TAB,SA (21217) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 9MG/PHENYLEPHRINE 25MG TAB,SA
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	CHLORPHENIRAMINE TANNATE STRENGTH: 9 UNITS: MG PHENYLEPHRINE TANNATE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-12-07 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE TAB,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	CTM 9MG/PHENYLEPHRINE 25MG SA TAB
VA PRODUCT IDENTIFIER	C1416
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4029350
EFFECTIVE DATE/TIME	2009-12-04 00:00:00 STATUS: ACTIVE 2011-12-07 00:00:00 STATUS: INACTIVE