ACETAMINOPHEN 500MG/DM 20MG/PHENYLEPHRINE 10MG/PKT (28133) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/DM 20MG/PHENYLEPHRINE 10MG/PKT
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG/PKT PHENYLEPHRINE STRENGTH: 10 UNITS: MG/PKT DEXTROMETHORPHAN STRENGTH: 20 UNITS: MG/PKT
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PHENYLEPHRINE PWDR,RENST-ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-01-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ACETAMINOPHEN500/DM20/P-EPHRINE 10MG/PKT
VA PRODUCT IDENTIFIER	A1959
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4037111
EFFECTIVE DATE/TIME	2017-12-01 00:00:00 STATUS: ACTIVE