EPHEDRINE 25MG/GUAIFENESIN 400MG TAB UD (25792) VA PRODUCT (50.68)

Name	Value
NAME	EPHEDRINE 25MG/GUAIFENESIN 400MG TAB UD
VA GENERIC NAME	EPHEDRINE/GUAIFENESIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	EPHEDRINE STRENGTH: 25 UNITS: MG GUAIFENESIN STRENGTH: 400 UNITS: MG
NATIONAL FORMULARY NAME	EPHEDRINE/GUAIFENESIN TAB
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
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	EPHEDRINE 25MG/GUAIFENESIN 400MG TAB UD
VA PRODUCT IDENTIFIER	E0647
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4034544
EFFECTIVE DATE/TIME	2015-06-25 00:00:00 STATUS: ACTIVE