GUAIFENESIN 125MG/PSEUDOEPHEDRINE 60MG CAP,SA (4855) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 125MG/PSEUDOEPHEDRINE 60MG CAP,SA
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG GUAIFENESIN STRENGTH: 125 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	GUAIFENESIN/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	GG 125/PSEUDOEPHEDRINE 60MG SA CAP
VA PRODUCT IDENTIFIER	G0090
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4005397
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE