CLEMASTINE FUMARATE 1.34MG/PHENYLPROPANOLAMINE 75MG TAB (5941) VA PRODUCT (50.68)

Name	Value
NAME	CLEMASTINE FUMARATE 1.34MG/PHENYLPROPANOLAMINE 75MG TAB
VA GENERIC NAME	CLEMASTINE/PHENYLPROPANOLAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CLEMASTINE FUMARATE STRENGTH: 1.34 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 75 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-11-05 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CLEMASTINE/PHENYLPROPANOLAMINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006464
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE 2007-11-05 00:00:00 STATUS: INACTIVE