APAP 650MG/DM 20MG/GG 400MG/PHENYLEPHRINE HCL 10MG/20ML LIQUID (27098) VA PRODUCT (50.68)

Name	Value
NAME	APAP 650MG/DM 20MG/GG 400MG/PHENYLEPHRINE HCL 10MG/20ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG/20ML PHENYLEPHRINE STRENGTH: 10 UNITS: MG/20ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG/20ML GUAIFENESIN STRENGTH: 400 UNITS: MG/20ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/GUAIFENESIN/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	APAP650/DM20/GG400/P-EPHR10MG/20ML LIQ
VA PRODUCT IDENTIFIER	A1910
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4035974
EFFECTIVE DATE/TIME	2016-08-11 00:00:00 STATUS: ACTIVE