DIPHENHYDRAMINE 25MG/PHENYLEPHRINE 10MG TAB (30384) VA PRODUCT (50.68)

Name	Value
NAME	DIPHENHYDRAMINE 25MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	DIPHENHYDRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DIPHENHYDRAMINE STRENGTH: 25 UNITS: MG PHENYLEPHRINE STRENGTH: 10 UNITS: MG
NATIONAL FORMULARY NAME	DIPHENHYDRAMINE/PHENYLEPHRINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	1x Possible Dosage
PACKAGE	Both Inpatient and Outpatient
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-09-03 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DIPHENHYDRAMINE 25/PHENYLEPHRNE 10MG TAB
VA PRODUCT IDENTIFIER	D1246
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4039671
EFFECTIVE DATE/TIME	2020-09-03 00:00:00 STATUS: ACTIVE 2020-09-03 00:00:00 STATUS: ACTIVE 2020-09-03 00:00:00 STATUS: ACTIVE