ACETAMINOPHEN 500MG/DM 15MG/PSEUDOEPHEDRINE 30MG TAB (22654) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/DM 15MG/PSEUDOEPHEDRINE 30MG TAB
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE 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/DM15/PSEUDOEP 30MG TAB
VA PRODUCT IDENTIFIER	A1604
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030972
EFFECTIVE DATE/TIME	2011-09-12 00:00:00 STATUS: ACTIVE