AT SO4 0.024MG/BPM 4MG/P-TOLOXAMINE 50MG/PSEUDEFED 120MG TAB,SA (7820) VA PRODUCT (50.68)

Name	Value
NAME	AT SO4 0.024MG/BPM 4MG/P-TOLOXAMINE 50MG/PSEUDEFED 120MG TAB,SA
VA GENERIC NAME	ATROPINE/BROMPHENIRAMINE/PHENYLTOLOXAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	TAB,EC,SA
ACTIVE INGREDIENTS	ATROPINE SULFATE STRENGTH: 0.0242 UNITS: MG BROMPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG PHENYLTOLOXAMINE DIHYDROGEN CITRATE STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2003-03-19 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ATROPINE/BROMPHENIRAMINE/PHENYLTOLOXAMINE/PSEUDOEPHEDRINE TAB,EC,SA
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	4008298
EFFECTIVE DATE/TIME	2003-03-19 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE