GUAIFENESIN 360MG/PSEUDOEPHEDRINE 60MG TAB (28775) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 360MG/PSEUDOEPHEDRINE 60MG TAB
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 360 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GUAIFENESIN/PSEUDOEPHEDRINE TAB
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: 2 COPAY EFFECTIVE DATE: 2018-09-24 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	GG 360/PSEUDOEPHEDRINE 60MG TAB
VA PRODUCT IDENTIFIER	G0457
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4037835
EFFECTIVE DATE/TIME	2018-09-24 00:00:00 STATUS: ACTIVE