CODEINE 9MG/5ML/CHLORPHENIRAMINE 2MG/5ML LIQUID,ORAL (28956) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 9MG/5ML/CHLORPHENIRAMINE 2MG/5ML LIQUID,ORAL
VA GENERIC NAME	CHLORPHENIRAMINE/CODEINE
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML CODEINE PHOSPHATE STRENGTH: 9 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Schedule V
INACTIVATION DATE	2022-03-15 00:00:00
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/CODEINE LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2018-12-13 00:00:00 COPAY END DATE: 2018-12-27 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-12-28 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CODEINE 9MG/CHLORPHENIRAMINE 2MG/5ML LIQ
VA PRODUCT IDENTIFIER	C1879
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4038050
EFFECTIVE DATE/TIME	2018-12-13 00:00:00 STATUS: ACTIVE 2022-03-15 00:00:00 STATUS: INACTIVE