DEXTROMETHORPHAN 10MG/PSEUDOEPHEDRINE 20MG/5ML LIQUID (9289) VA PRODUCT (50.68)

Name	Value
NAME	DEXTROMETHORPHAN 10MG/PSEUDOEPHEDRINE 20MG/5ML LIQUID
VA GENERIC NAME	DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 10 UNITS: % PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 20 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	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
VA PRINT NAME	DM 10/PSEUDOEPHEDRINE 20MG/5ML LIQUID
VA PRODUCT IDENTIFIER	D0182
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009715
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE