DEXBROMPHENIRAMINE 2MG/PHENYLEPHRINE 7.5MG TAB (30437) VA PRODUCT (50.68)

Name	Value
NAME	DEXBROMPHENIRAMINE 2MG/PHENYLEPHRINE 7.5MG TAB
VA GENERIC NAME	DEXBROMPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXBROMPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG PHENYLEPHRINE STRENGTH: 7.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXBROMPHENIRAMINE/PHENYLEPHRINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-10-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DEXBROMPHENIR 2MG/P-EPHRIN 7.5MG TAB
VA PRODUCT IDENTIFIER	D1250
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4039733
EFFECTIVE DATE/TIME	2020-10-02 00:00:00 STATUS: ACTIVE 2020-10-02 00:00:00 STATUS: ACTIVE 2020-10-02 00:00:00 STATUS: ACTIVE