ACETAMINOPHEN 325MG/PHENYLTOLOXAMINE 30MG TAB (7642) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 325MG/PHENYLTOLOXAMINE 30MG TAB
VA GENERIC NAME	ACETAMINOPHEN/PHENYLTOLOXAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PHENYLTOLOXAMINE STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/PHENYLTOLOXAMINE TAB
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	ACETAMINOPHEN 325/P-TOLOXAMINE 30MG TAB
VA PRODUCT IDENTIFIER	A1629
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4008138
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-03-08 00:00:00 STATUS: INACTIVE 2011-08-08 00:00:00 STATUS: ACTIVE