CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 10MG/5ML SYRUP (5820) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 10MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/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
VA PRINT NAME	CTM 4/PHENYLEPHRINE 10MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0421
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006343
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE