APAP 325MG/DM 20MG/GG 200MG/PSEUDEFED 60MG TAB (26243) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/DM 20MG/GG 200MG/PSEUDEFED 60MG TAB
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG GUAIFENESIN STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE 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	ACETAMINOPHEN325/DM20/GG200/PSEUDO60 TAB
VA PRODUCT IDENTIFIER	A1847
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4035041
EFFECTIVE DATE/TIME	2015-11-17 00:00:00 STATUS: ACTIVE