PSEUDOEPHEDRINE 30MG/TRIPROLIDINE 1.25MG/5ML SYRUP (4616) VA PRODUCT (50.68)

Name	Value
NAME	PSEUDOEPHEDRINE 30MG/TRIPROLIDINE 1.25MG/5ML SYRUP
VA GENERIC NAME	PSEUDOEPHEDRINE/TRIPROLIDINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	TRIPROLIDINE HYDROCHLORIDE STRENGTH: 1.25 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-04 00:00:00
DSS NUMBER	6
NATIONAL FORMULARY NAME	PSEUDOEPHEDRINE/TRIPROLIDINE SYRUP
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 30/TRIPROLIDINE 1.25MG/5ML SYRUP
VA PRODUCT IDENTIFIER	P0409
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005163
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE 2010-02-09 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE