DEXTROMETHORPHAN HBR 10MG/GUAIFENESIN 100MG/5ML (AF & SF) LIQUID (32375) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN HBR 10MG/GUAIFENESIN 100MG/5ML (AF & SF) LIQUID
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN
DOSAGE FORM	LIQUID,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN LIQUID,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2022-12-06 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DM 10/GUAIFENESN 100MG/5ML (AF & SF) LIQ
VA PRODUCT IDENTIFIER	D1302
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4041870
EFFECTIVE DATE/TIME	2022-12-06 00:00:00 STATUS: ACTIVE