ACETAMINOPHEN 250MG/IBUPROFEN 125MG TAB (30531) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 250MG/IBUPROFEN 125MG TAB
VA GENERIC NAME	ACETAMINOPHEN/IBUPROFEN
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 250 UNITS: MG IBUPROFEN STRENGTH: 125 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ACETAMINOPHEN/IBUPROFEN TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2020-11-13 00:00:00 COPAY END DATE: 2021-02-03 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2021-02-04 00:00:00
PGX ELIGIBLE	YES
PGX SUPPRESSED	NO
VA PRINT NAME	ACETAMINOPHEN 250MG/IBUPROFEN 125MG TAB
VA PRODUCT IDENTIFIER	A2069
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4039832
EFFECTIVE DATE/TIME	2020-11-13 00:00:00 STATUS: ACTIVE 2020-11-13 00:00:00 STATUS: ACTIVE 2020-11-13 00:00:00 STATUS: ACTIVE