APAP 500MG/CTM 2MG/DM 15MG TAB (22498) VA PRODUCT (50.68)

Name	Value
NAME	APAP 500MG/CTM 2MG/DM 15MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG CHLORPHENIRAMINE STRENGTH: 2 UNITS: MG DEXTROMETHORPHAN STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN 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 500/CTM 2MG/DM 15MG TAB
VA PRODUCT IDENTIFIER	A1609
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030791
EFFECTIVE DATE/TIME	2011-07-12 00:00:00 STATUS: ACTIVE