CHLORPHENIRAMINE 1MG/PHENYLEPHRINE 2.5MG/5ML (AF&SF) LIQUID (31836)    VA PRODUCT (50.68)

Name Value
NAME CHLORPHENIRAMINE 1MG/PHENYLEPHRINE 2.5MG/5ML (AF&SF) LIQUID
VA GENERIC NAME CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM LIQUID
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME CHLORPHENIRAMINE/PHENYLEPHRINE LIQUID
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-03-24 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CTM 1MG/P-EPHRINE 2.5MG/5ML (AF&SF) LIQ
VA PRODUCT IDENTIFIER C2029
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4041277
EFFECTIVE DATE/TIME
  • 2022-03-24 00:00:00
    STATUS:   ACTIVE