GUAIFENESIN 100MG/PSEUDOEPHEDRINE 30MG/5ML ELIXIR (4873) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 100MG/PSEUDOEPHEDRINE 30MG/5ML ELIXIR
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	ELIXIR
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	22
NATIONAL FORMULARY NAME	GUAIFENESIN/PSEUDOEPHEDRINE ELIXIR
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	4005415
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE