BROMPHENIRAMINE MALEATE 4MG TAB (4152)    VA PRODUCT (50.68)

Name Value
NAME BROMPHENIRAMINE MALEATE 4MG TAB
VA GENERIC NAME BROMPHENIRAMINE MALEATE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
INACTIVATION DATE 2002-09-25 00:00:00
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME BROMPHENIRAMINE MALEATE 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
VA PRINT NAME BROMPHENIRAMINE MALEATE 4MG TAB
VA PRODUCT IDENTIFIER B0229
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID NO
VUID 4004704
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2002-09-25 00:00:00
    STATUS:   INACTIVE