BROMPHENIRAMINE 4MG/PHENYLPROPANOLAMINE 25MG/5ML ELIXIR (7184) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 4MG/PHENYLPROPANOLAMINE 25MG/5ML ELIXIR
VA GENERIC NAME	BROMPHENIRAMINE/PHENYLPROPANOLAMINE
DOSAGE FORM	ELIXIR
ACTIVE INGREDIENTS	BROMPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG/5ML PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/PHENYLPROPANOLAMINE ELIXIR
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 4/PHENYLPROPANOLAMINE 25MG/5ML ELXR
VA PRODUCT IDENTIFIER	B0223
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4007693
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE