DOXYLAMINE 10MG/PYRIDOXINE HCL 10MG TAB,EC (24106) VA PRODUCT (50.68)

Name	Value
NAME	DOXYLAMINE 10MG/PYRIDOXINE HCL 10MG TAB,EC
VA GENERIC NAME	DOXYLAMINE/PYRIDOXINE
DOSAGE FORM	TAB,EC
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DOXYLAMINE STRENGTH: 10 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DOXYLAMINE/PYRIDOXINE TAB,EC
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2019-07-04 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-07-05 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DOXYLAMINE 10MG/PYRIDOXINE HCL EC TAB
VA PRODUCT IDENTIFIER	D0986
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4032636
EFFECTIVE DATE/TIME	2013-08-21 00:00:00 STATUS: ACTIVE