DYPHYLLINE 200MG/GUAIFENESIN 100MG CAP (4269) VA PRODUCT (50.68)

Name	Value
NAME	DYPHYLLINE 200MG/GUAIFENESIN 100MG CAP
VA GENERIC NAME	DYPHYLLINE/GUAIFENESIN
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	DYPHYLLINE STRENGTH: 200 UNITS: MG GUAIFENESIN STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	DYPHYLLINE/GUAIFENESIN CAP,ORAL
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	4004821
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE