ACETAMINOPHEN 500MG/CAFFEINE 60MG/PYRILAMINE 15MG TAB (24915) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/CAFFEINE 60MG/PYRILAMINE 15MG TAB
VA GENERIC NAME	ACETAMINOPHEN/CAFFEINE/PYRILAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG CAFFEINE STRENGTH: 60 UNITS: MG PYRILAMINE STRENGTH: 15 UNITS: MG
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CAFFEINE/PYRILAMINE 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	ACETAMINOPHEN 500/CAFN/PYRILAM 15MG TAB
VA PRODUCT IDENTIFIER	A1760
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033557
EFFECTIVE DATE/TIME	2014-07-31 00:00:00 STATUS: ACTIVE