PSEUDOEPHEDRINE HCL 10MG/TRIPROLIDINE HCL 0.938MG/ML LIQUID,ORAL (23676)    VA PRODUCT (50.68)

Name Value
NAME PSEUDOEPHEDRINE HCL 10MG/TRIPROLIDINE HCL 0.938MG/ML LIQUID,ORAL
VA GENERIC NAME PSEUDOEPHEDRINE/TRIPROLIDINE
DOSAGE FORM LIQUID,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME PSEUDOEPHEDRINE/TRIPROLIDINE 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 PSEUDO 10/TRIPROLIDINE 0.938MG/ML LIQUID
VA PRODUCT IDENTIFIER P1029
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4032161
EFFECTIVE DATE/TIME
  • 2013-02-25 00:00:00
    STATUS:   ACTIVE