DEXBROMPHENIRAMINE 2MG/PHENYLEPHRINE 10MG TAB (26498) VA PRODUCT (50.68)

Name	Value
NAME	DEXBROMPHENIRAMINE 2MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	DEXBROMPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	DEXBROMPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG PHENYLEPHRINE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXBROMPHENIRAMINE/PHENYLEPHRINE 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	DEXBROMPHENIRAMINE 2MG/P-EPHRIN 10MG TAB
VA PRODUCT IDENTIFIER	D1120
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4035324
EFFECTIVE DATE/TIME	2016-01-22 00:00:00 STATUS: ACTIVE