ACETAMINOPHEN 325MG/GUAIFENESIN 200MG/PHENYLEPHRINE 5MG TAB (24642)    VA PRODUCT (50.68)

Name Value
NAME ACETAMINOPHEN 325MG/GUAIFENESIN 200MG/PHENYLEPHRINE 5MG TAB
VA GENERIC NAME ACETAMINOPHEN/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ACETAMINOPHEN/GUAIFENESIN/PHENYLEPHRINE TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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 ACETAMINOPHEN325/GG200/P-EPHRINE 5MG TAB
VA PRODUCT IDENTIFIER A1752
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4033244
EFFECTIVE DATE/TIME
  • 2014-04-21 00:00:00
    STATUS:   ACTIVE