APAP 300MG/CTM 4MG/P-PROPANOL 60MG/SALICYLAMIDE 300MG TAB,SA (6217) VA PRODUCT (50.68)

Name	Value
NAME	APAP 300MG/CTM 4MG/P-PROPANOL 60MG/SALICYLAMIDE 300MG TAB,SA
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLPROPANOLAMINE/SALICYLAMIDE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 300 UNITS: MG SALICYLAMIDE STRENGTH: 300 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLPROPANOLAMINE/SALICYLAMIDE TAB,SA
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	4006738
EFFECTIVE DATE/TIME	2004-09-29 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE