GG 200MG/P-EPHRINE 5MG/P-PROPANOL 45MG CAP (6445) VA PRODUCT (50.68)

Name	Value
NAME	GG 200MG/P-EPHRINE 5MG/P-PROPANOL 45MG CAP
VA GENERIC NAME	GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 45 UNITS: MG GUAIFENESIN STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE CAP,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
VA PRINT NAME	GG 200/PHENYLEPHRINE 5MG/PPA 45MG CAP
VA PRODUCT IDENTIFIER	G0116
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006965
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE