CODEINE 10MG/GUAIFENESIN 200MG/5ML LIQUID (27225) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 10MG/GUAIFENESIN 200MG/5ML LIQUID
VA GENERIC NAME	CODEINE/GUAIFENESIN
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	CODEINE PHOSPHATE STRENGTH: 10 UNITS: MG/5ML GUAIFENESIN STRENGTH: 200 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	CODEINE/GUAIFENESIN 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	CODEINE 10MG/GG 200MG/5ML ORAL LIQUID
VA PRODUCT IDENTIFIER	C1798
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036114
EFFECTIVE DATE/TIME	2016-10-13 00:00:00 STATUS: ACTIVE