CHLORPHENIRAMINE 2MG/PHENYLEPHRINE 5MG/5ML ELIXIR (5825) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 2MG/PHENYLEPHRINE 5MG/5ML ELIXIR
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	7
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE LIQUID,ORAL
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 2/PHENYLEPHRINE 5MG/5ML LIQUID
VA PRODUCT IDENTIFIER	C0414
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006348
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE