GUAIFENESIN 100MG/PHENYLEPHRINE 5MG/5ML LIQUID (4622) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 100MG/PHENYLEPHRINE 5MG/5ML LIQUID
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	5
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE 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	4005169
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE