CTM 1MG/DM 5MG/PSEUDEFED 15MG/5ML LIQUID (4849) VA PRODUCT (50.68)

Name	Value
NAME	CTM 1MG/DM 5MG/PSEUDEFED 15MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	SUCROSE SODIUM BENZOATE BENZOIC ACID CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG/5ML SORBITOL CITRIC ACID PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 15 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	3
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE LIQUID,ORAL
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	4005391
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE