CTM 2MG/P-EPHRINE 5MG/PYRILAMINE 12.5MG/5ML SUSP (4285) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2MG/P-EPHRINE 5MG/PYRILAMINE 12.5MG/5ML SUSP
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PYRILAMINE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	CHLORPHENIRAMINE TANNATE STRENGTH: 2 UNITS: MG/5ML PHENYLEPHRINE TANNATE STRENGTH: 5 UNITS: MG/5ML PYRILAMINE TANNATE STRENGTH: 12.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-02-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE/PYRILAMINE SUSP
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 2/PHENYLEPH 5/PYRIL 12.5MG/5ML SUSP
VA PRODUCT IDENTIFIER	C0729
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4004837
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-02-04 00:00:00 STATUS: INACTIVE