CTM 2MG/METHSCOPOLAMINE 1.25MG/P-EPHRINE 10MG/5ML SYRUP (5813) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2MG/METHSCOPOLAMINE 1.25MG/P-EPHRINE 10MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/METHSCOPOLAMINE/PHENYLEPHRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	METHSCOPOLAMINE NITRATE STRENGTH: 1.25 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/METHSCOPOLAMINE/PHENYLEPHRINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006336
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-18 00:00:00 STATUS: INACTIVE