| NAME |
PHENYLEPHRINE HCL 10MG/PYRILAMINE MALEATE 25MG TAB |
| VA GENERIC NAME |
PHENYLEPHRINE/PYRILAMINE |
| DOSAGE FORM |
TAB |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2020-07-15 00:00:00 |
| NATIONAL FORMULARY NAME |
PHENYLEPHRINE/PYRILAMINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PHENYLEPHRINE 10MG/PYRILAMINE 25MG TAB |
| VA PRODUCT IDENTIFIER |
P1017 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032008 |
| EFFECTIVE DATE/TIME |
-
- 2013-01-25 00:00:00
- STATUS: ACTIVE
-
- 2020-07-15 00:00:00
- STATUS: INACTIVE
|
