ACETAMINOPHEN 325MG/DIPHENHYDRAMINE HCL 12.5 MG TAB (22235) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 325MG/DIPHENHYDRAMINE HCL 12.5 MG TAB
VA GENERIC NAME	ACETAMINOPHEN/DIPHENHYDRAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 12.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DIPHENHYDRAMINE TAB
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	ACETAMINOPHEN 325MG/DIPHENHYD 12.5MG TAB
VA PRODUCT IDENTIFIER	A1628
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030503
EFFECTIVE DATE/TIME	2011-04-08 00:00:00 STATUS: ACTIVE