CODEINE 54.3MG/CHLORPHENIRAMINE 8MG TAB,SA (29086) VA PRODUCT (50.68)

Name	Value
NAME	CODEINE 54.3MG/CHLORPHENIRAMINE 8MG TAB,SA
VA GENERIC NAME	CHLORPHENIRAMINE/CODEINE
DOSAGE FORM	TAB,SA
FDA MED GUIDE	Codeine-Chlorpheneramine_SA_Tab_(Tuxarin_ER)_(2018).PDF
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	CODEINE STRENGTH: 54.3 UNITS: MG CHLORPHENIRAMINE STRENGTH: 8 UNITS: MG
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/CODEINE TAB,SA
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2019-03-07 00:00:00
PGX ELIGIBLE	YES
PGX SUPPRESSED	YES
VA PRINT NAME	CODEINE 54.3/CHLORPHENIRAMINE 8MG SA TAB
VA PRODUCT IDENTIFIER	C1885
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4038200
EFFECTIVE DATE/TIME	2019-03-07 00:00:00 STATUS: ACTIVE