APAP 108MG/CTM 0.6MG/DM 3.3MG/PSEUDEFED 10MG/5ML LIQUID (8540) VA PRODUCT (50.68)

Name	Value
NAME	APAP 108MG/CTM 0.6MG/DM 3.3MG/PSEUDEFED 10MG/5ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 108.3 UNITS: MG/5ML PSEUDOEPHEDRINE STRENGTH: 10 UNITS: MG/5ML ALCOHOL STRENGTH: 20 UNITS: % F D & C RED #40 D & C YELLOW #10 F D & C BLUE #1 CHLORPHENIRAMINE MALEATE STRENGTH: 0.67 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 3.34 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE LIQUID,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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4009000
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE