COPHENE-X CAP (6613) VA PRODUCT (50.68)

Name	Value
NAME	COPHENE-X CAP
VA GENERIC NAME	CARBETAPENTANE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/POTASSIUM
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	POTASSIUM GUAIACOLSULFONATE STRENGTH: 45 UNITS: MG CARBETAPENTANE CITRATE STRENGTH: 20 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CARBETAPENTANE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/POTASSIUM 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	NO
VUID	4007129
EFFECTIVE DATE/TIME	2004-11-18 00:00:00 STATUS: INACTIVE 2005-12-06 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE