CHLORPHENIRAMINE 4/DEXTROMETHORPHAN 10MG/PHENYLEPHRINE 10MG TAB (25203) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 4/DEXTROMETHORPHAN 10MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 10 UNITS: MG CHLORPHENIRAMINE STRENGTH: 4 UNITS: MG DEXTROMETHORPHAN STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRINE TAB,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	CTM 4MG/DM 10MG/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER	C1677
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033890
EFFECTIVE DATE/TIME	2014-11-28 00:00:00 STATUS: ACTIVE