GUAIFENESIN 100MG/PSEUDOEPHEDRINE 30MG/5ML (ALC-F) SYRUP (4877) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 100MG/PSEUDOEPHEDRINE 30MG/5ML (ALC-F) SYRUP
VA GENERIC NAME	GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE STRENGTH: 30 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-02-03 00:00:00
DSS NUMBER	26
NATIONAL FORMULARY NAME	GUAIFENESIN/PSEUDOEPHEDRINE SYRUP
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 100/PSEUDOEPHEDRIN 30MG/5ML ALC-F SYR
VA PRODUCT IDENTIFIER	G0160
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4005419
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-02-03 00:00:00 STATUS: INACTIVE