DOXYLAMINE 20MG/PYRIDOXINE HCL 20MG TAB,SA (28381) VA PRODUCT (50.68)

Name	Value
NAME	DOXYLAMINE 20MG/PYRIDOXINE HCL 20MG TAB,SA
VA GENERIC NAME	DOXYLAMINE/PYRIDOXINE
DOSAGE FORM	TAB,SA
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DOXYLAMINE STRENGTH: 20 UNITS: MG PYRIDOXINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DOXYLAMINE/PYRIDOXINE TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2018-05-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DOXYLAMINE 20MG/PYRIDOXINE 20MG SA TAB
VA PRODUCT IDENTIFIER	D1181
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037382
EFFECTIVE DATE/TIME	2018-03-16 00:00:00 STATUS: ACTIVE