APAP 325MG/DM 10MG/DOXYLAMINE 6.25MG/PHENYLEPHRINE 5MG CAP (26439) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/DM 10MG/DOXYLAMINE 6.25MG/PHENYLEPHRINE 5MG CAP
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PHENYLEPHRINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG DOXYLAMINE SUCCINATE STRENGTH: 6.25 UNITS: MG PHENYLEPHRINE STRENGTH: 5 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2019-12-16 00:00:00
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PHENYLEPHRINE CAP,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 CAP
VA PRODUCT IDENTIFIER	A1835
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4035261
EFFECTIVE DATE/TIME	2015-12-30 00:00:00 STATUS: ACTIVE 2019-12-16 00:00:00 STATUS: INACTIVE