CTM 12MG/METHSCOPOLAMINE 1.25MG/P-EPHRINE 40MG TAB (22408) VA PRODUCT (50.68)

Name	Value
NAME	CTM 12MG/METHSCOPOLAMINE 1.25MG/P-EPHRINE 40MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/METHSCOPOLAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	METHSCOPOLAMINE STRENGTH: 1.25 UNITS: MG PHENYLEPHRINE STRENGTH: 40 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 12 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2013-03-13 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/METHSCOPOLAMINE/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	CTM 12/METHSCOPOL1.25/P-EPHRINE 40MG TAB
VA PRODUCT IDENTIFIER	C1474
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030686
EFFECTIVE DATE/TIME	2011-06-06 00:00:00 STATUS: ACTIVE