PHENIRAMINE 25MG/P-PROPANOL 50MG/PYRILAMINE 25MG TAB,SA (4405) VA PRODUCT (50.68)

Name	Value
NAME	PHENIRAMINE 25MG/P-PROPANOL 50MG/PYRILAMINE 25MG TAB,SA
VA GENERIC NAME	PHENIRAMINE/PHENYLPROPANOLAMINE/PYRILAMINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PHENIRAMINE MALEATE STRENGTH: 25 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 50 UNITS: MG PYRILAMINE MALEATE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PHENIRAMINE/PHENYLPROPANOLAMINE/PYRILAMINE TAB,SA
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	4004952
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE