DEXTROMETHORPHAN HBR 7.5MG/DOXYLAMINE 3.125MG/5ML LIQUID (27260) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN HBR 7.5MG/DOXYLAMINE 3.125MG/5ML LIQUID
VA GENERIC NAME	DEXTROMETHORPHAN/DOXYLAMINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	DOXYLAMINE STRENGTH: 3.125 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 7.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/DOXYLAMINE 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	DM 7.5MG/DOXYLAMINE 3.125MG/5ML LIQUID
VA PRODUCT IDENTIFIER	D1139
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036153
EFFECTIVE DATE/TIME	2016-11-04 00:00:00 STATUS: ACTIVE