ACETAMINOPHEN 325MG/DM 10MG/PHENYLEPHRINE 5MG CAP,ORAL (25513) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 325MG/DM 10MG/PHENYLEPHRINE 5MG CAP,ORAL
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PHENYLEPHRINE STRENGTH: 5 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE CAP,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	ACETAMINOPHEN 325/DM10/PHENYLEPH 5MG CAP
VA PRODUCT IDENTIFIER	A1882
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4034237
EFFECTIVE DATE/TIME	2015-02-26 00:00:00 STATUS: ACTIVE