CTM 2.5MG/P-EPHRINE 5MG/P-PROPANOL 20MG/P-TOLOXAMINE 7.5MG TAB (3267) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2.5MG/P-EPHRINE 5MG/P-PROPANOL 20MG/P-TOLOXAMINE 7.5MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PHENYLTOLOXAM
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENYLTOLOXAMINE CITRATE STRENGTH: 7.5 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	11
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PHENYLTOLOXAM TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4003837
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE