DEXTROMETHORPHAN HBR 20MG/QUINIDINE SO4 10MG CAP (22202) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN HBR 20MG/QUINIDINE SO4 10MG CAP
VA GENERIC NAME	DEXTROMETHORPHAN/QUINIDINE
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG QUINIDINE SULFATE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/QUINIDINE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DEXTROMETHORPHAN 20MG/QUINIDINE 10MG CAP
VA PRODUCT IDENTIFIER	D0882
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4030455
EFFECTIVE DATE/TIME	2011-03-04 00:00:00 STATUS: ACTIVE