B-DONNA 6MG/CTM 1MG/P-EPHRINE 2.5MG/PYRILAMINE 12.5MG TAB (7109) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA 6MG/CTM 1MG/P-EPHRINE 2.5MG/PYRILAMINE 12.5MG TAB
VA GENERIC NAME	BELLADONNA/CHLORPHENIRAMINE/PHENYLEPHRINE/PYRILAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	BELLADONNA STRENGTH: 6 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 2.5 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG PYRILAMINE MALEATE STRENGTH: 12.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BELLADONNA/CHLORPHENIRAMINE/PHENYLEPHRINE/PYRILAMINE 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	4007619
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE