CTM 2MG/GG 100MG/P-EPHRINE 5MG/P-PROPANOL 5MG/5ML SYRUP (7211) VA PRODUCT (50.68)

Name	Value
NAME	CTM 2MG/GG 100MG/P-EPHRINE 5MG/P-PROPANOL 5MG/5ML SYRUP
VA GENERIC NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 2 UNITS: MG/5ML GUAIFENESIN STRENGTH: 100 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/GUAIFENESIN/PHENYLEPHRINE/PHENYLPROPANOLAMINE SYRUP
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	4007719
EFFECTIVE DATE/TIME	2001-01-12 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE