DEXTROMETHORPHAN 20MG/GUAIFENESIN 400MG/5ML (SF&AF) LIQUID,ORAL (23697) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN 20MG/GUAIFENESIN 400MG/5ML (SF&AF) LIQUID,ORAL
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG/5ML GUAIFENESIN STRENGTH: 400 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN 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	DM 20/GUAIFENESIN 400MG/5ML (SF/AF) LIQ
VA PRODUCT IDENTIFIER	D0955
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4032183
EFFECTIVE DATE/TIME	2013-02-28 00:00:00 STATUS: ACTIVE