CTM 4MG/CHLOPHEDIANOL 25MG/PSEUDEFED 45MG/5ML SYRUP,ORAL (23154) VA PRODUCT (50.68)

Name	Value
NAME	CTM 4MG/CHLOPHEDIANOL 25MG/PSEUDEFED 45MG/5ML SYRUP,ORAL
VA GENERIC NAME	CHLORPHENIRAMINE/CHLOPHEDIANOL/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP,ORAL
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 45 UNITS: MG/5ML CHLORPHENIRAMINE STRENGTH: 4 UNITS: MG/5ML CHLOPHEDIANOL STRENGTH: 25 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-01-25 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/CHLOPHEDIANOL/PSEUDOEPHEDRINE LIQUID,ORAL
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	DRYMAX AF SYRUP
VA PRODUCT IDENTIFIER	C1518
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4031570
EFFECTIVE DATE/TIME	2012-08-03 00:00:00 STATUS: ACTIVE