CTM 2MG/DM 5MG/GG 75MG/P-EPHRINE 5MG LIQUID (6397) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2MG/DM 5MG/GG 75MG/P-EPHRINE 5MG LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 5 UNITS: MG GUAIFENESIN STRENGTH: 75 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-08-13 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE LIQUID,ORAL
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	4006917
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-08-13 00:00:00 STATUS: INACTIVE