ACETAMINOPHEN 500MG/PHENYLTOLOXAMINE 30MG CAP (7643) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/PHENYLTOLOXAMINE 30MG CAP
VA GENERIC NAME	ACETAMINOPHEN/PHENYLTOLOXAMINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG PHENYLTOLOXAMINE STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-08-30 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETAMINOPHEN/PHENYLTOLOXAMINE 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	APAP 500/PHENYLTOLOXAMINE 30MG CAP
VA PRODUCT IDENTIFIER	A0946
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4008139
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-08-30 00:00:00 STATUS: INACTIVE