ACETAMINOPHEN 650MG/GUAIFENESIN 400MG/PHENYLEPHRINE 10/20ML LIQ (25911) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 650MG/GUAIFENESIN 400MG/PHENYLEPHRINE 10/20ML LIQ
VA GENERIC NAME	ACETAMINOPHEN/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG/20ML PHENYLEPHRINE STRENGTH: 10 UNITS: MG/20ML GUAIFENESIN STRENGTH: 400 UNITS: MG/20ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/GUAIFENESIN/PHENYLEPHRINE LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	ACETAMINOPHEN650/GG400/P-EPHRIN10MG/20ML
VA PRODUCT IDENTIFIER	A1819
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4034681
EFFECTIVE DATE/TIME	2015-08-03 00:00:00 STATUS: ACTIVE