DM 15MG/GG 400MG/PSEUDOEPHEDRINE 60MG TAB (23907) VA PRODUCT (50.68)

Name	Value
NAME	DM 15MG/GG 400MG/PSEUDOEPHEDRINE 60MG TAB
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 60 UNITS: MG DEXTROMETHORPHAN STRENGTH: 15 UNITS: MG GUAIFENESIN STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE TAB
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 15MG/GG 400MG/PSEUDOEPHED 60MG TAB
VA PRODUCT IDENTIFIER	D0975
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4032418
EFFECTIVE DATE/TIME	2013-05-28 00:00:00 STATUS: ACTIVE