APAP 325MG/DM 15MG/PSEUDEFED 30MG TAB (9796) VA PRODUCT (50.68)

Name	Value
NAME	APAP 325MG/DM 15MG/PSEUDEFED 30MG TAB
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 325 UNITS: MG PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 30 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-02-04 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE 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/DM 15/PSEUDO 30MG TAB
VA PRODUCT IDENTIFIER	A0697
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010200
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-02-04 00:00:00 STATUS: INACTIVE