APAP 500MG/DIPHENHYDRAMINE 12.5MG/PSEUDEFED 30MG TAB (9292)    VA PRODUCT (50.68)

Name Value
NAME APAP 500MG/DIPHENHYDRAMINE 12.5MG/PSEUDEFED 30MG TAB
VA GENERIC NAME ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-04-16 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE TAB
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 4009718
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-04-16 00:00:00
    STATUS:   INACTIVE