DOXYLAMINE SUCCINATE 10.5MG/PHENYLEPHRINE 10MG TAB (29380) VA PRODUCT (50.68)

Name	Value
NAME	DOXYLAMINE SUCCINATE 10.5MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	DOXYLAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DOXYLAMINE SUCCINATE STRENGTH: 10.5 UNITS: MG PHENYLEPHRINE STRENGTH: 10 UNITS: MG
NATIONAL FORMULARY NAME	DOXYLAMINE/PHENYLEPHRINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-07-05 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DOXYLAMINE 10.5MG/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER	D1215
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4038536
EFFECTIVE DATE/TIME	2019-07-08 00:00:00 STATUS: ACTIVE 2019-07-08 00:00:00 STATUS: ACTIVE