| NAME |
CHLOPHEDIANOL 12.5MG/PYRILAMINE 12.5MG/5ML LIQUID,ORAL |
| VA GENERIC NAME |
CHLOPHEDIANOL/PYRILAMINE |
| DOSAGE FORM |
LIQUID,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
CHLOPHEDIANOL/PYRILAMINE LIQUID,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2018-08-28 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CHLOPHEDIANOL 12.5/PYRILAMINE 12.5MG/5ML |
| VA PRODUCT IDENTIFIER |
C1860 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4037774 |
| EFFECTIVE DATE/TIME |
-
- 2018-08-28 00:00:00
- STATUS: ACTIVE
|
