GUAIFENESIN 100MG/PHENYLPROPANOLAMINE 6.25MG/5ML SYRUP (6295) VA PRODUCT (50.68)

Name	Value
NAME	GUAIFENESIN 100MG/PHENYLPROPANOLAMINE 6.25MG/5ML SYRUP
VA GENERIC NAME	GUAIFENESIN/PHENYLPROPANOLAMINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 5 UNITS: % D & C YELLOW #10 PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 6.25 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	10
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLPROPANOLAMINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4006815
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE