APAP 650/DIPHENHYDRAMINE 25/PHENYLEPHRI 10MG PWDR,RENST-ORAL PKT (25866) VA PRODUCT (50.68)

Name	Value
NAME	APAP 650/DIPHENHYDRAMINE 25/PHENYLEPHRI 10MG PWDR,RENST-ORAL PKT
VA GENERIC NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/PHENYLEPHRINE
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG DIPHENHYDRAMINE STRENGTH: 25 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/PHENYLEPHRINE PWDR,RENST-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	APAP 650/DIPHEN 25/PHENYL 10MG PWDR PKT
VA PRODUCT IDENTIFIER	A1814
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4034633
EFFECTIVE DATE/TIME	2015-07-23 00:00:00 STATUS: ACTIVE