ACETAMINOPHEN 500MG/PAMABROM 25MG/PYRILAMINE 15MG TAB (9436) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 500MG/PAMABROM 25MG/PYRILAMINE 15MG TAB
VA GENERIC NAME	ACETAMINOPHEN/PAMABROM/PYRILAMINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 500 UNITS: MG PAMABROM STRENGTH: 25 UNITS: MG PYRILAMINE MALEATE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
DSS NUMBER	3
NATIONAL FORMULARY NAME	ACETAMINOPHEN/PAMABROM/PYRILAMINE 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
VA PRINT NAME	APAP 500/PAMABROM 25/PYRILAMINE 15MG TAB
VA PRODUCT IDENTIFIER	A0629
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4009858
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE