APAP 325MG/DM 15MG/DOXYLAMINE 6.25MG CAP (23698) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/DM 15MG/DOXYLAMINE 6.25MG CAP
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG DOXYLAMINE SUCCINATE STRENGTH: 6.25 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE CAP,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	ACETAMINOPHEN 325/DM 15/DOXYL 6.25MG CAP
VA PRODUCT IDENTIFIER	A1696
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4032184
EFFECTIVE DATE/TIME	2013-02-28 00:00:00 STATUS: ACTIVE