ACETAMINOPHEN 160MG/DEXTROMETHORPHAN 5MG/5ML SUSP,ORAL (28625) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 160MG/DEXTROMETHORPHAN 5MG/5ML SUSP,ORAL
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 160 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 5 UNITS: MG/5ML
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN SUSP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-07-12 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ACETAMINOPHEN 160/DM 5MG/5ML SUSP ORAL
VA PRODUCT IDENTIFIER	A1983
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4037657
EFFECTIVE DATE/TIME	2018-07-12 00:00:00 STATUS: ACTIVE