CTM 3MG/DM 15MG/PSEUDEFED 45MG/5ML SYRUP (4847) VA PRODUCT (50.68)

Name	Value
NAME	CTM 3MG/DM 15MG/PSEUDEFED 45MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 3 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 45 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005389
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE