CTM 1MG/DM 10MG/GG 25MG/P-EPHRINE 5MG/NA CITRATE 15MG/5ML LIQUID (9577) VA PRODUCT (50.68)

Name	Value
NAME	CTM 1MG/DM 10MG/GG 25MG/P-EPHRINE 5MG/NA CITRATE 15MG/5ML LIQUID
VA GENERIC NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE/SODI
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG/5ML CHLORPHENIRAMINE MALEATE STRENGTH: 1 UNITS: MG/5ML SODIUM CITRATE STRENGTH: 15 UNITS: MG/5ML DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 10 UNITS: MG/5ML GUAIFENESIN STRENGTH: 25 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLORPHENIRAMINE/DEXTROMETHORPHAN/GUAIFENESIN/PHENYLEPHRINE/SODI 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4009992
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE