PSEUDOEPHEDRINE 120MG/TERFENADINE 60MG TAB,SA (9679) VA PRODUCT (50.68)

Name	Value
NAME	PSEUDOEPHEDRINE 120MG/TERFENADINE 60MG TAB,SA
VA GENERIC NAME	PSEUDOEPHEDRINE/TERFENADINE
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	ETHYLCELLULOSE TITANIUM DIOXIDE TERFENADINE STRENGTH: 60 UNITS: MG GLYCERIN SODIUM LAURYL SULFATE TALC CALCIUM CARBONATE CELLULOSE,MICROCRYSTALLINE CORN STARCH HYDROXYPROPYL METHYLCELLULOSE 2208 HYDROXYPROPYL METHYLCELLULOSE 2910 MAGNESIUM STEARATE SILICON DIOXIDE,COLLOIDAL SODIUM STARCH GLYCOLATE ZINC STEARATE LACTOSE POLYSORBATE 80 HYDROXYPROPYL CELLULOSE PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	1999-08-09 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	PSEUDOEPHEDRINE/TERFENADINE TAB,SA
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	PSEUDO 120/TERFENADINE 60MG SA TAB
VA PRODUCT IDENTIFIER	P0355
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010088
EFFECTIVE DATE/TIME	1999-08-09 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE