CTM 2MG/DM 10MG/PSEUDEFED 30MG/5ML LIQUID (4851) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2MG/DM 10MG/PSEUDEFED 30MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	5
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE LIQUID
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	4005393
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE