DEXTROMETHORPHAN 15MG/PHENYLEPHRINE 10MG/5ML (SF) SUSP (7865) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN 15MG/PHENYLEPHRINE 10MG/5ML (SF) SUSP
VA GENERIC NAME	DEXTROMETHORPHAN/PHENYLEPHRINE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2009-11-17 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN/PHENYLEPHRINE SUSP
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	DM 15/PHENYLEPHRINE 10MG/5ML SF SUSP
VA PRODUCT IDENTIFIER	D0452
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008343
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-11-17 00:00:00 STATUS: INACTIVE