GUAIFENESIN 390MG/PHENYLEPHRINE 10MG TAB (32285) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 390MG/PHENYLEPHRINE 10MG TAB
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	PHENYLEPHRINE STRENGTH: 10 UNITS: MG GUAIFENESIN STRENGTH: 390 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2022-10-20 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	GUAIFENESIN 390MG/PHENYLEPHRINE 10MG TAB
VA PRODUCT IDENTIFIER	G0510
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4041767
EFFECTIVE DATE/TIME	2022-10-20 00:00:00 STATUS: ACTIVE