PSEUDOEPHEDRINE HCL 60MG/TRIPROLIDINE HCL 2.5MG TAB (4612) VA PRODUCT (50.68)

Name	Value
NAME	PSEUDOEPHEDRINE HCL 60MG/TRIPROLIDINE HCL 2.5MG TAB
VA GENERIC NAME	PSEUDOEPHEDRINE/TRIPROLIDINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	TRIPROLIDINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	PSEUDOEPHEDRINE/TRIPROLIDINE 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
VA PRINT NAME	PSEUDO 60/TRIPROLIDINE 2.5MG TAB
VA PRODUCT IDENTIFIER	P0330
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005159
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE