CTM 6MG/P-EPHRINE 5MG/P-PROPANOL 40MG TAB (6787)    VA PRODUCT (50.68)

Name Value
NAME CTM 6MG/P-EPHRINE 5MG/P-PROPANOL 40MG TAB
VA GENERIC NAME CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2005-10-14 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME CHLORPHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE TAB
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 4007303
EFFECTIVE DATE/TIME
  • 2001-01-12 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE