CARBETAPENTANE 30MG/CTM 4MG/EPHEDRINE 5MG/P-EPHRINE 5MG/5ML SUSP (4289) VA PRODUCT (50.68)

Name	Value
NAME	CARBETAPENTANE 30MG/CTM 4MG/EPHEDRINE 5MG/P-EPHRINE 5MG/5ML SUSP
VA GENERIC NAME	CARBETAPENTANE/CHLORPHENIRAMINE/EPHEDRINE/PHENYLEPHRINE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	CHLORPHENIRAMINE TANNATE STRENGTH: 4 UNITS: MG/5ML PHENYLEPHRINE TANNATE STRENGTH: 5 UNITS: MG/5ML CARBETAPENTANE TANNATE STRENGTH: 30 UNITS: MG/5ML EPHEDRINE TANNATE STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-06-02 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CARBETAPENTANE/CHLORPHENIRAMINE/EPHEDRINE/PHENYLEPHRINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004841
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-06-02 00:00:00 STATUS: INACTIVE