CTM 6MG/GG 200MG/P-PROPANOL 75MG TAB,SA (6997) VA PRODUCT (50.68)

Name	Value
NAME	CTM 6MG/GG 200MG/P-PROPANOL 75MG TAB,SA
VA GENERIC NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLPROPANOLAMINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 75 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 6 UNITS: MG GUAIFENESIN STRENGTH: 200 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLPROPANOLAMINE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007509
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE