BROMPHENIRAMINE 12MG/PHENYLPROPANOLAMINE 75MG TAB,SA (7185) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 12MG/PHENYLPROPANOLAMINE 75MG TAB,SA
VA GENERIC NAME	BROMPHENIRAMINE/PHENYLPROPANOLAMINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	BROMPHENIRAMINE MALEATE STRENGTH: 12 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 75 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/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
VA PRINT NAME	BPM 12/PHENYLPROPANOLAMINE 75MG SA TAB
VA PRODUCT IDENTIFIER	B0218
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007694
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE