APAP 650/DIPHENHYDRAMINE 25/PHENYLEPHRINE HCL 10MG/30ML LIQUID (26583) VA PRODUCT (50.68)

Name	Value
NAME	APAP 650/DIPHENHYDRAMINE 25/PHENYLEPHRINE HCL 10MG/30ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG/30ML DIPHENHYDRAMINE STRENGTH: 25 UNITS: MG/30ML PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/30ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/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 650/DIPHEN 25/PHENYL 10MG/30ML LIQ
VA PRODUCT IDENTIFIER	A1874
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4035417
EFFECTIVE DATE/TIME	2016-02-18 00:00:00 STATUS: ACTIVE