APAP 250MG/DM 10MG/DOXYLAMINE 6.25MG/PSEUDEFED 30MG CAP (9102) VA PRODUCT (50.68)

Name	Value
NAME	APAP 250MG/DM 10MG/DOXYLAMINE 6.25MG/PSEUDEFED 30MG CAP
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 250 UNITS: MG DOXYLAMINE SUCCINATE STRENGTH: 6.25 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/DOXYLAMINE/PSEUDOEPHEDRINE CAP,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	4009543
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE