ACETAMINOPHEN 325MG/PYRILAMINE MALEATE 25MG TAB (25772) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 325MG/PYRILAMINE MALEATE 25MG TAB
VA GENERIC NAME	ACETAMINOPHEN/PYRILAMINE MALEATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PYRILAMINE MALEATE STRENGTH: 25 UNITS: MG
NATIONAL FORMULARY NAME	ACETAMINOPHEN/PYRILAMINE MALEATE 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 325MG/PYRILAMINE 25MG TAB
VA PRODUCT IDENTIFIER	A1809
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4034523
EFFECTIVE DATE/TIME	2015-06-12 00:00:00 STATUS: ACTIVE