CARBETAPENTANE 60MG/CTM 5MG/EPHEDRINE 10MG/P-EPHRINE 10MG TAB (4288)    VA PRODUCT (50.68)

Name Value
NAME CARBETAPENTANE 60MG/CTM 5MG/EPHEDRINE 10MG/P-EPHRINE 10MG TAB
VA GENERIC NAME CARBETAPENTANE/CHLORPHENIRAMINE/EPHEDRINE/PHENYLEPHRINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
DSS NUMBER 1
NATIONAL FORMULARY NAME CARBETAPENTANE/CHLORPHENIRAMINE/EPHEDRINE/PHENYLEPHRINE 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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4004840
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE