BAN-TUSS HYDROCODONE LIQUID,ORAL (7088) VA PRODUCT (50.68)

Name	Value
NAME	BAN-TUSS HYDROCODONE LIQUID,ORAL
VA GENERIC NAME	HYDROCODONE/PHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PYRILA
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	PHENIRAMINE MALEATE STRENGTH: 3.3 UNITS: MG/5ML HYDROCODONE BITARTRATE STRENGTH: 1.67 UNITS: MG/5ML PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 3.3 UNITS: MG/5ML PYRILAMINE MALEATE STRENGTH: 3.3 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	HYDROCODONE/PHENIRAMINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE/PYRILA 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	4007598
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-10-14 00:00:00 STATUS: INACTIVE