CTM 1MG/DM 5MG/PSEUDEFED 15MG TAB,CHEWABLE (4850) VA PRODUCT (50.68)

Name	Value
NAME	CTM 1MG/DM 5MG/PSEUDEFED 15MG TAB,CHEWABLE
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 15 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE TAB,CHEWABLE
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	4005392
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE