DEXBROMPHENIRAMINE 2MG/PSEUDOEPHEDRINE 60MG/5ML SOLN (31839) VA PRODUCT (50.68)

Name	Value
NAME	DEXBROMPHENIRAMINE 2MG/PSEUDOEPHEDRINE 60MG/5ML SOLN
VA GENERIC NAME	DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	SOLN,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXBROMPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DEXBROMPHENIRAMINE/PSEUDOEPHEDRINE SOLN,ORAL
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	DEXBROMPH 2MG/PSEUDOEPHED 60MG/5ML SOLN
VA PRODUCT IDENTIFIER	D1281
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4041282
EFFECTIVE DATE/TIME	2022-03-24 00:00:00 STATUS: ACTIVE