PHENYLEPHRINE HCL 10MG/TRIPROLIDINE HCL 2.5MG/5ML LIQUID,ORAL (24652) VA PRODUCT (50.68)

Name	Value
NAME	PHENYLEPHRINE HCL 10MG/TRIPROLIDINE HCL 2.5MG/5ML LIQUID,ORAL
VA GENERIC NAME	PHENYLEPHRINE/TRIPROLIDINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	TRIPROLIDINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG/5ML PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	PHENYLEPHRINE/TRIPROLIDINE LIQUID,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-EPHRINE10MG/TRIPROLID 2.5MG/5ML LIQUID
VA PRODUCT IDENTIFIER	P1075
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4033261
EFFECTIVE DATE/TIME	2014-04-24 00:00:00 STATUS: ACTIVE