DM 10MG/GG 200MG/PSEUDOEPHEDRINE 30MG TAB (25430) VA PRODUCT (50.68)

Name	Value
NAME	DM 10MG/GG 200MG/PSEUDOEPHEDRINE 30MG TAB
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 30 UNITS: MG DEXTROMETHORPHAN STRENGTH: 10 UNITS: MG GUAIFENESIN STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE 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	DM 10MG/GG 200MG/PSEUDOEPHED 30MG TAB
VA PRODUCT IDENTIFIER	D1086
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4034149
EFFECTIVE DATE/TIME	2015-02-13 00:00:00 STATUS: ACTIVE