ACTIFED SINUS DAYTIME/NIGHTIME CAP,PKG #24 (9294)    VA PRODUCT (50.68)

Name Value
NAME ACTIFED SINUS DAYTIME/NIGHTIME CAP,PKG #24
VA GENERIC NAME ACETAMINOPHEN/DIPHENHYDRAMINE/PSEUDOEPHEDRINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME ACETAMINOPHEN/DIPHENHYDRAMINE/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
VA PRINT NAME ACTIFED SINUS DAY/NIGHT CAP PKG 24
VA PRODUCT IDENTIFIER A0624
TRANSMIT TO CMOP NO
VA DISPENSE UNIT PKG
MASTER ENTRY FOR VUID YES
VUID 4009720
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE