BROMPHENIRAMINE 1MG/PSEUDOEPHEDRINE 15MG/5ML LIQUID (22565) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 1MG/PSEUDOEPHEDRINE 15MG/5ML LIQUID
VA GENERIC NAME	BROMPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	BROMPHENIRAMINE STRENGTH: 1 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/PSEUDOEPHEDRINE LIQUID
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	BPM 1MG/PSEUDOEPHEDRINE 15MG/5ML LIQUID
VA PRODUCT IDENTIFIER	B0668
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4030872
EFFECTIVE DATE/TIME	2011-08-08 00:00:00 STATUS: ACTIVE 2019-08-20 00:00:00 STATUS: ACTIVE 2019-08-26 00:00:00 STATUS: ACTIVE