CODEINE 10MG/GG 200MG/PSEUDEFED 30MG/5ML (SF) LIQUID (27213) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/GG 200MG/PSEUDEFED 30MG/5ML (SF) LIQUID
VA GENERIC NAME	CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	CODEINE STRENGTH: 10 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/5ML GUAIFENESIN STRENGTH: 200 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CODEINE/GUAIFENESIN/PSEUDOEPHEDRINE 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	YES
PGX SUPPRESSED	YES
VA PRINT NAME	CODEINE10/GG200/P-EPHED 30MG/ML SF LIQ
VA PRODUCT IDENTIFIER	C1797
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036102
EFFECTIVE DATE/TIME	2016-10-13 00:00:00 STATUS: ACTIVE