DM 10MG/GG 66.7MG/PSEUDEFED 20MG/5ML LIQUID (7017) VA PRODUCT (50.68)

Name	Value
NAME	DM 10MG/GG 66.7MG/PSEUDEFED 20MG/5ML LIQUID
VA GENERIC NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 10 UNITS: % PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/5ML GUAIFENESIN STRENGTH: 66.7 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-01-19 00:00:00
DSS NUMBER	9
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/GUAIFENESIN/PSEUDOEPHEDRINE LIQUID,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	YES
VUID	4007527
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE