ASA 325MG/DM 10MG/CTM 2MG/P-EPHRINE 7.8MG TAB,EFFERVSC (22358)    VA PRODUCT (50.68)

Name Value
NAME ASA 325MG/DM 10MG/CTM 2MG/P-EPHRINE 7.8MG TAB,EFFERVSC
VA GENERIC NAME ASPIRIN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM TAB,EFFERVSC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ASPIRIN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRINE TAB,EFFERVSC
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 ASA 325/DM 10/CTM 2/PHENYL 7.8 EFFER TAB
VA PRODUCT IDENTIFIER A1588
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4030631
EFFECTIVE DATE/TIME
  • 2011-05-05 00:00:00
    STATUS:   ACTIVE