BROMPHENIRAMINE 4MG/PHENYLPROPANOLAMINE 25MG CAP (7188) VA PRODUCT (50.68)

Name	Value
NAME	BROMPHENIRAMINE 4MG/PHENYLPROPANOLAMINE 25MG CAP
VA GENERIC NAME	BROMPHENIRAMINE/PHENYLPROPANOLAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	BROMPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	BROMPHENIRAMINE/PHENYLPROPANOLAMINE CAP,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
VA PRINT NAME	BPM 4/PHENYLPROPANOLAMINE 25MG CAP
VA PRODUCT IDENTIFIER	B0222
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4007697
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE