APAP 500MG/CTM 2MG/PSEUDEFED 30MG CAP (7855)    VA PRODUCT (50.68)

Name Value
NAME APAP 500MG/CTM 2MG/PSEUDEFED 30MG CAP
VA GENERIC NAME ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-18 00:00:00
DSS NUMBER 5
NATIONAL FORMULARY NAME ACETAMINOPHEN/CHLORPHENIRAMINE/PSEUDOEPHEDRINE 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/CTM 2/PSEUDOEPHEDRINE 30MG CAP
VA PRODUCT IDENTIFIER A0348
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4008333
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE