CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 20MG TAB (5831) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 4MG/PHENYLEPHRINE 20MG TAB
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	13
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/PHENYLEPHRINE TAB
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 20MG TAB
VA PRODUCT IDENTIFIER	C0422
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006354
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE