BROMPHENIRAMINE MALEATE 12MG TAB,SA (4151)    VA PRODUCT (50.68)

Name Value
NAME BROMPHENIRAMINE MALEATE 12MG TAB,SA
VA GENERIC NAME BROMPHENIRAMINE
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 12
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
DSS NUMBER 3
NATIONAL FORMULARY NAME BROMPHENIRAMINE TAB,SA
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
VA PRINT NAME BROMPHENIRAMINE MALEATE 12MG SA TAB
VA PRODUCT IDENTIFIER B0227
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004703
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2008-02-05 00:00:00
    STATUS:   ACTIVE