DEXTROMETHORPHAN HBR 15MG/5ML LIQUID (7960) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN HBR 15MG/5ML LIQUID
VA GENERIC NAME	DEXTROMETHORPHAN
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 10 UNITS: % DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	15
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	MG/5ML
DSS NUMBER	7
NATIONAL FORMULARY NAME	DEXTROMETHORPHAN LIQUID
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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/5ML LIQUID
VA PRODUCT IDENTIFIER	D0461
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008437
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE