PHENYLEPHRINE 5MG/PYRILAMINE 16MG/5ML SUSP,ORAL (24035) VA PRODUCT (50.68)

Name	Value
NAME	PHENYLEPHRINE 5MG/PYRILAMINE 16MG/5ML SUSP,ORAL
VA GENERIC NAME	PHENYLEPHRINE/PYRILAMINE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML PYRILAMINE MALEATE STRENGTH: 16 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-10-21 00:00:00
NATIONAL FORMULARY NAME	PHENYLEPHRINE/PYRILAMINE SUSP,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	P-EPHRINE 5/PYRILAMINE 16MG/5ML SUSP
VA PRODUCT IDENTIFIER	P1049
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4032559
EFFECTIVE DATE/TIME	2013-07-17 00:00:00 STATUS: ACTIVE