DOXYLAMINE SUCCINATE 7.5MG/PHENYLEPHRINE 10MG TAB (30793) VA PRODUCT (50.68)

Name	Value
NAME	DOXYLAMINE SUCCINATE 7.5MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	DOXYLAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DOXYLAMINE SUCCINATE STRENGTH: 7.5 UNITS: MG PHENYLEPHRINE STRENGTH: 10 UNITS: MG
NATIONAL FORMULARY NAME	DOXYLAMINE/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: 2021-03-02 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DOXYLAMINE 7.5MG/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER	D1257
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4040124
EFFECTIVE DATE/TIME	2021-03-02 00:00:00 STATUS: ACTIVE 2021-03-02 00:00:00 STATUS: ACTIVE 2021-03-02 00:00:00 STATUS: ACTIVE