APAP 650MG/CTM 4MG/DM 20MG/PSEUDEFED 60MG/PKT PWDR,ORAL (8543) VA PRODUCT (50.68)

Name	Value
NAME	APAP 650MG/CTM 4MG/DM 20MG/PSEUDEFED 60MG/PKT PWDR,ORAL
VA GENERIC NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	PWDR,RENST-ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG CHLORPHENIRAMINE MALEATE STRENGTH: 4 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 20 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-11-02 00:00:00
DSS NUMBER	8
NATIONAL FORMULARY NAME	ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PSEUDOEPHEDRINE PWDR,RENST-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	FLU, COLD & COUGH PKT
VA PRODUCT IDENTIFIER	A1419
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4009003
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-11-02 00:00:00 STATUS: INACTIVE