GUAIFENESIN 400MG/PHENYLEPHRINE 10MG TAB (22323) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 400MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 10 UNITS: MG GUAIFENESIN STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE 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	GUAIFENESIN 400MG/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER	G0363
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030591
EFFECTIVE DATE/TIME	2011-04-08 00:00:00 STATUS: ACTIVE