DEXBROMPHENIRAMINE 1MG/PSEUDOEPHEDRINE 30MG/5ML SOLN (27168) VA PRODUCT (50.68)

Name	Value
NAME	DEXBROMPHENIRAMINE 1MG/PSEUDOEPHEDRINE 30MG/5ML SOLN
VA GENERIC NAME	DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	SOLN,ORAL
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE SULFATE STRENGTH: 30 UNITS: MG/5ML DEXBROMPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE SOLN,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	DEXBROMPH 1MG/PSEUDOEPHED 30MG/5ML SOLN
VA PRODUCT IDENTIFIER	D1136
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036051
EFFECTIVE DATE/TIME	2016-09-22 00:00:00 STATUS: ACTIVE