GUAIFENESIN 200MG/PHENYLEPHRINE 5MG/5ML LIQUID (23760) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 200MG/PHENYLEPHRINE 5MG/5ML LIQUID
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML GUAIFENESIN STRENGTH: 200 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2017-02-24 00:00:00
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
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	GUAIFENESIN 200MG/PHENYLEPH 5MG/5ML LIQ
VA PRODUCT IDENTIFIER	G0383
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4032253
EFFECTIVE DATE/TIME	2013-03-25 00:00:00 STATUS: ACTIVE