ACETAMINOPHEN 325MG/DM 10MG/PHENYLEPHRINE 5MG TAB (26636)    VA PRODUCT (50.68)

Name Value
NAME ACETAMINOPHEN 325MG/DM 10MG/PHENYLEPHRINE 5MG TAB
VA GENERIC NAME ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE TAB,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 ACETAMINOPHEN 325/DM10/PHENYLEPH 5MG TAB
VA PRODUCT IDENTIFIER A1881
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4035472
EFFECTIVE DATE/TIME
  • 2016-03-10 00:00:00
    STATUS:   ACTIVE