ACETAMINOPHEN 500MG/CTM 4MG/PSEUDOEPHEDRINE 60MG PKT (22655) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/CTM 4MG/PSEUDOEPHEDRINE 60MG PKT
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG/PKT CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/PKT PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG/PKT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-09-08 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE PWDR,RENST-ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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/CTM5/PSEUDOEP 60MG PKT
VA PRODUCT IDENTIFIER	A1605
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4030973
EFFECTIVE DATE/TIME	2011-09-08 00:00:00 STATUS: INACTIVE 2011-09-08 00:00:00 STATUS: INACTIVE