APAP 650MG/DM 30MG/PSEUDEFED 60MG POWDER,ORAL (9797) VA PRODUCT (50.68)

Name	Value
NAME	APAP 650MG/DM 30MG/PSEUDEFED 60MG POWDER,ORAL
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 650 UNITS: MG CALCIUM PHOSPHATE,TRIBASIC PSEUDOEPHEDRINE HYDROCHLORIDE STRENGTH: 60 UNITS: MG DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 30 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN/PSEUDOEPHEDRINE POWDER,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
VA PRINT NAME	APAP 650/DM 30/PSEUDOEPHED 60MG/PKT
VA PRODUCT IDENTIFIER	A0882
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4010201
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE