GUAIFENESIN 375MG/PSEUDOEPHEDRINE 60MG TAB (29721) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 375MG/PSEUDOEPHEDRINE 60MG TAB
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 375 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GUAIFENESIN/PSEUDOEPHEDRINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-11-14 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	GG 375/PSEUDOEPHEDRINE 60MG TAB
VA PRODUCT IDENTIFIER	G0486
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4038915
EFFECTIVE DATE/TIME	2019-11-14 00:00:00 STATUS: ACTIVE