APAP 325MG/CTM 4MG/P-PROPANOL 25MG/P-TOLOXAMINE 25MG CAP (6581) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/CTM 4MG/P-PROPANOL 25MG/P-TOLOXAMINE 25MG CAP
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLPROPANOLAMINE/PHENYLTOLOXAM
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PHENYLTOLOXAMINE DIHYDROGEN CITRATE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/PHENYLPROPANOLAMINE/PHENYLTOLOXAM 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	APAP 325/CTM 4/PPZ 25/PHENYLTOLOX 25MG C
VA PRODUCT IDENTIFIER	A0692
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4007097
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE