APAP 500MG/CTM 8MG/P-EPHRINE 40MG TAB,SA (5103) VA PRODUCT (50.68)

Name	Value
NAME	APAP 500MG/CTM 8MG/P-EPHRINE 40MG TAB,SA
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 40 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 8 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2015-06-29 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLEPHRINE TAB,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	ACETAMINOPHEN500/CTM8/P-EPHRINE40 SA TAB
VA PRODUCT IDENTIFIER	A1610
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005644
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE