HYDROCODONE 5MG/CHLORPHENIRAMINE 4MG/5ML LIQUID (27453) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCODONE 5MG/CHLORPHENIRAMINE 4MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/HYDROCODONE
DOSAGE FORM	LIQUID
FDA MED GUIDE	Hydrocodone-Chlorpheniramine_(Vituz)_(2018).pdf
ACTIVE INGREDIENTS	HYDROCODONE BITARTRATE STRENGTH: 5 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule II
INACTIVATION DATE	2019-05-16 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/HYDROCODONE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	HYDROCODONE 5MG/CTM 4MG/5ML LIQUID
VA PRODUCT IDENTIFIER	H0708
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4036365
EFFECTIVE DATE/TIME	2017-01-25 00:00:00 STATUS: ACTIVE 2019-05-16 00:00:00 STATUS: INACTIVE