CHLORPHENIRAMINE 4MG/DEXTROMETHORPHAN 18MG/5ML LIQUID (28774) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 4MG/DEXTROMETHORPHAN 18MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 18 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2020-10-15 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-09-24 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CTM 4/DEXTROMETHORPHAN 18MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C1861
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4037836
EFFECTIVE DATE/TIME	2018-09-24 00:00:00 STATUS: ACTIVE 2020-10-15 00:00:00 STATUS: INACTIVE 2020-10-15 00:00:00 STATUS: INACTIVE 2020-10-15 00:00:00 STATUS: INACTIVE