APAP 167MG/DM 5MG/DOXYLAMINE 1.25MG/PSEUDEFED 10MG/5ML LIQUID (9101) VA PRODUCT (50.68)

Name	Value
NAME	APAP 167MG/DM 5MG/DOXYLAMINE 1.25MG/PSEUDEFED 10MG/5ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 167 UNITS: MG/5ML ALCOHOL STRENGTH: 25 UNITS: MG/5ML DOXYLAMINE SUCCINATE STRENGTH: 1.25 UNITS: MG/5ML SUGAR SORBITOL PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 5 UNITS: MG/5ML SACCHARIN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE LIQUID
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	4009542
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE