BROMPHENIRAMINE 12MG/PSEUDOEPHEDRINE SO4 120MG TAB,SA (6805) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 12MG/PSEUDOEPHEDRINE SO4 120MG TAB,SA
VA GENERIC NAME	BROMPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PSEUDOEPHEDRINE SULFATE STRENGTH: 120 UNITS: MG BROMPHENIRAMINE MALEATE STRENGTH: 12 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/PSEUDOEPHEDRINE TAB,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
VA PRINT NAME	BPM 12/PSEUDOEPHEDRINE 120MG SA TAB
VA PRODUCT IDENTIFIER	B0219
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007321
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE