BROMPHENIRAMINE 2MG/5ML/PHENYLEPHRINE 5MG/5ML LIQUID,ORAL (30320) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 2MG/5ML/PHENYLEPHRINE 5MG/5ML LIQUID,ORAL
VA GENERIC NAME	BROMPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	BROMPHENIRAMINE STRENGTH: 2 UNITS: MG/5ML PHENYLEPHRINE STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/PHENYLEPHRINE LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-08-07 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	BROMPHENIR 2MG/PHENYLEPH 5MG/5ML LIQ
VA PRODUCT IDENTIFIER	B0904
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4039592
EFFECTIVE DATE/TIME	2020-08-07 00:00:00 STATUS: ACTIVE 2020-08-07 00:00:00 STATUS: ACTIVE