DM 15MG/DYPHYLLINE 100MG/PSEUDEFED 45MG/15ML SYRUP (7622) VA PRODUCT (50.68)

Name	Value
NAME	DM 15MG/DYPHYLLINE 100MG/PSEUDEFED 45MG/15ML SYRUP
VA GENERIC NAME	DEXTROMETHORPHAN/DYPHYLLINE/PSEUDOEPHEDRINE
DOSAGE FORM	SYRUP
ACTIVE INGREDIENTS	DYPHYLLINE STRENGTH: 100 UNITS: MG/15ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 45 UNITS: MG/15ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/15ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-07-31 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/DYPHYLLINE/PSEUDOEPHEDRINE 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	4008118
EFFECTIVE DATE/TIME	2003-07-31 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE