| NAME |
APAP 325MG/CTM 1MG/DM 10MG/P-PROPANOL 12.5MG TAB |
| VA GENERIC NAME |
ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLPROPANOLAM |
| DOSAGE FORM |
TAB |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2005-10-14 00:00:00 |
| DSS NUMBER |
3 |
| NATIONAL FORMULARY NAME |
ACETAMINOPHEN/CHLORPHENIRAMINE/DEXTROMETHORPHAN/PHENYLPROPANOLAM TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 325/CTM 1/DM 10/PPA 12.5MG TAB |
| VA PRODUCT IDENTIFIER |
A0685 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4010197 |
| EFFECTIVE DATE/TIME |
-
- 2001-01-12 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|