DEXTROMETHORPHAN 5MG/PHENYLEPHRINE 2.5MG/5ML (AF/SF) LIQUID,ORAL (30322) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN 5MG/PHENYLEPHRINE 2.5MG/5ML (AF/SF) LIQUID,ORAL
VA GENERIC NAME	DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 2.5 UNITS: MG/5ML DEXTROMETHORPHAN STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/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	DM 5MG/P-EPHRINE 2.5MG/5ML (AF/SF) LIQ
VA PRODUCT IDENTIFIER	D1244
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4039596
EFFECTIVE DATE/TIME	2020-08-07 00:00:00 STATUS: ACTIVE 2020-08-07 00:00:00 STATUS: ACTIVE