BROMPHENIRAMINE MALEATE 2MG/5ML ELIXIR (4153)    VA PRODUCT (50.68)

Name Value
NAME BROMPHENIRAMINE MALEATE 2MG/5ML ELIXIR
VA GENERIC NAME BROMPHENIRAMINE MALEATE
DOSAGE FORM ELIXIR
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2
INACTIVATION DATE 2002-09-25 00:00:00
UNITS MG/5ML
DSS NUMBER 1
NATIONAL FORMULARY NAME BROMPHENIRAMINE MALEATE ELIXIR
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 2MG/5ML ELIXIR
VA PRODUCT IDENTIFIER B0228
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4004705
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