AT SO4 0.024MG/CTM 4MG/P-EPHRINE 20MG/P-TOLOXAMINE 50MG CAP,SA (6453) VA PRODUCT (50.68)

Name	Value
NAME	AT SO4 0.024MG/CTM 4MG/P-EPHRINE 20MG/P-TOLOXAMINE 50MG CAP,SA
VA GENERIC NAME	ATROPINE/CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLTOLOXAMINE
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0242 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PHENYLTOLOXAMINE DIHYDROGEN CITRATE STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-03-19 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ATROPINE/CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLTOLOXAMINE CAP,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	4006973
EFFECTIVE DATE/TIME	2003-03-19 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE