CTM 4MG/P-EPHRINE 10MG/P-PROPANOL 50MG/PYRILAMINE 25MG TAB (4249) VA PRODUCT (50.68)

Name	Value
NAME	CTM 4MG/P-EPHRINE 10MG/P-PROPANOL 50MG/PYRILAMINE 25MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PYRILAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PYRILAMINE MALEATE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PYRILAMINE 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	CTM 4/PHENYLEPH 10/PPA 50/PYRIL 25MG TAB
VA PRODUCT IDENTIFIER	C0677
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004801
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE