APAP 167MG/DIPHENHYDRAMINE 8.33MG/PSEUDEFED 10MG/5ML LIQUID (9291) VA PRODUCT (50.68)

Name	Value
NAME	APAP 167MG/DIPHENHYDRAMINE 8.33MG/PSEUDEFED 10MG/5ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 167 UNITS: MG/5ML D & C YELLOW #10 F D & C GREEN #3 DIPHENHYDRAMINE HYDROCHLORIDE STRENGTH: 8.33 UNITS: MG/5ML PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 10 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DIPHENHYDRAMINE/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	4009717
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE