| NAME |
DM 5MG/GG 50MG/P-PROPANOL 6.25MG/ML DROPS,ORAL |
| VA GENERIC NAME |
DEXTROMETHORPHAN/GUAIFENESIN/PHENYLPROPANOLAMINE |
| DOSAGE FORM |
DROPS,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2005-10-14 00:00:00 |
| DSS NUMBER |
9 |
| NATIONAL FORMULARY NAME |
DEXTROMETHORPHAN/GUAIFENESIN/PHENYLPROPANOLAMINE DROPS,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 |
4007204 |
| EFFECTIVE DATE/TIME |
-
- 2001-01-12 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|