AMMONIUM CL 500MG/CTM 7.5MG/DM 60MG/P-EPHRINE 30MG LIQUID (7214) VA PRODUCT (50.68)

Name	Value
NAME	AMMONIUM CL 500MG/CTM 7.5MG/DM 60MG/P-EPHRINE 30MG LIQUID
VA GENERIC NAME	AMMONIUM CHLORIDE/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRIN
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	AMMONIUM CHLORIDE STRENGTH: 500 UNITS: MG PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 7.5 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 60 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-04-04 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMMONIUM CHLORIDE/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLEPHRIN LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4007722
EFFECTIVE DATE/TIME	2002-04-04 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE