DEXTROMETHORPHAN HBR 15MG TAB,CHEWABLE (7956) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN HBR 15MG TAB,CHEWABLE
VA GENERIC NAME	DEXTROMETHORPHAN
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	STARCH GELATIN F D & C RED #40 CORN SYRUP F D & C BLUE #1 FLAVOR MILK PROTEIN,HYDROLYZED SUGAR VEGETABLE OIL,PARTIALLY HYDROGENATED SORBITOL DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	15
INACTIVATION DATE	2007-09-19 00:00:00
UNITS	MG
DSS NUMBER	3
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN TAB,CHEWABLE
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	DEXTROMETHORPHAN HBR 15MG CHEW TAB
VA PRODUCT IDENTIFIER	D0186
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4008433
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE