GUAIFENESIN 400MG/PSEUDOEPHEDRINE 40MG TAB (24083) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 400MG/PSEUDOEPHEDRINE 40MG TAB
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 40 UNITS: MG GUAIFENESIN STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	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	GG 400/PSEUDOEPHEDRINE 40MG TAB
VA PRODUCT IDENTIFIER	G0391
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4032611
EFFECTIVE DATE/TIME	2013-08-08 00:00:00 STATUS: ACTIVE