APAP 325MG/DM 10MG/DOXYLAMINE 6.25MG/PHENYLEPHRINE 5MG/15ML LIQ (25981) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/DM 10MG/DOXYLAMINE 6.25MG/PHENYLEPHRINE 5MG/15ML LIQ
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG/15ML DOXYLAMINE SUCCINATE STRENGTH: 6.25 UNITS: MG/15ML PHENYLEPHRINE STRENGTH: 5 UNITS: MG/15ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/15ML
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PHENYLEPHRINE LIQUID,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 325/DM 10/DOXY 6.25/P-EPHR 5MG/15ML
VA PRODUCT IDENTIFIER	A1826
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4034757
EFFECTIVE DATE/TIME	2015-08-25 00:00:00 STATUS: ACTIVE