CHLORPHENIRAMINE 2MG/PSEUDOEPHEDRINE 30MG/5ML SYRUP (4839) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 2MG/PSEUDOEPHEDRINE 30MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PSEUDOEPHEDRINE 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	CTM 2/PSEUDOEPHEDRINE 30MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0417
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005381
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE