CHLORPHENIRAMINE 1MG/PHENYLEPHRINE 2.5MG/5ML SYRUP (5832) VA PRODUCT (50.68)

Name	Value
NAME	CHLORPHENIRAMINE 1MG/PHENYLEPHRINE 2.5MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/PHENYLEPHRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-19 00:00:00
DSS NUMBER	14
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 1/PHENYLEPHRINE 2.5MG/5ML SYRUP
VA PRODUCT IDENTIFIER	C0407
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4006355
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE