HYDROCODONE 5MG/CTM 4MG/PSEUDEFED 60MG/5ML LIQUID (24368) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/CTM 4MG/PSEUDEFED 60MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/HYDROCODONE/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID
FDA MED GUIDE	Hydrocodone-Chlorpheniramine-Pseudoephed_Liq_(Generic)_(2017).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG/5ML PSEUDOEPHEDRINE STRENGTH: 60 UNITS: MG/5ML CHLORPHENIRAMINE STRENGTH: 4 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2019-10-15 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/HYDROCODONE/PSEUDOEPHEDRINE LIQUID
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	HYDROCODONE 5/CTM 4/PSEUDO 60MG/5ML LIQ
VA PRODUCT IDENTIFIER	H0648
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4032933
EFFECTIVE DATE/TIME	2013-12-18 00:00:00 STATUS: ACTIVE 2019-10-15 00:00:00 STATUS: INACTIVE