APAP 325MG/CTM 1MG/DM 10MG/P-PROPANOL 12.5MG TAB (9793)    VA PRODUCT (50.68)

Name Value
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
  • 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 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