CHLORPHENIRAMINE 12MG/PSEUDOEPHEDRINE 120MG CAP,SA (4842) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 12MG/PSEUDOEPHEDRINE 120MG CAP,SA
VA GENERIC NAME	CHLORPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 12 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-08-13 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PSEUDOEPHEDRINE CAP,SA
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 12/PSEUDOEPHEDRINE 120MG SA CAP
VA PRODUCT IDENTIFIER	C0406
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4005384
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-08-13 00:00:00 STATUS: INACTIVE