ACETAMINOPHEN 650MG/CTM 4MG/DM 20MG/PSEUDOEPHED 60MG/PKT (22656) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 650MG/CTM 4MG/DM 20MG/PSEUDOEPHED 60MG/PKT
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG/PKT CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/PKT PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG/PKT DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG/PKT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-02-16 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/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	ACETAMINOPHEN650/CTM4/DM20/PSEUD60MG PKT
VA PRODUCT IDENTIFIER	A1608
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4030974
EFFECTIVE DATE/TIME	2011-09-12 00:00:00 STATUS: ACTIVE