PHENIRAMINE 10MG/P-PROPANOL 20MG/PYRILAMINE 10MG/ML DROPS,ORAL (4406) VA PRODUCT (50.68)

Name	Value
NAME	PHENIRAMINE 10MG/P-PROPANOL 20MG/PYRILAMINE 10MG/ML DROPS,ORAL
VA GENERIC NAME	PHENIRAMINE/PHENYLPROPANOLAMINE/PYRILAMINE
DOSAGE FORM	DROPS,ORAL
ACTIVE INGREDIENTS	PHENIRAMINE MALEATE STRENGTH: 10 UNITS: MG/ML PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG/ML PYRILAMINE MALEATE STRENGTH: 10 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	PHENIRAMINE/PHENYLPROPANOLAMINE/PYRILAMINE LIQUID
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	4004953
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE