ACETAMINOPHEN 250MG/DEXTROMETHORPHAN 7.5MG/5ML LIQUID (9827) VA PRODUCT (50.68)

Name	Value
NAME	ACETAMINOPHEN 250MG/DEXTROMETHORPHAN 7.5MG/5ML LIQUID
VA GENERIC NAME	ACETAMINOPHEN/DEXTROMETHORPHAN
DOSAGE FORM	LIQUID,ORAL
ACTIVE INGREDIENTS	ACETAMINOPHEN STRENGTH: 250 UNITS: MG/5ML ALCOHOL STRENGTH: 10 UNITS: % DEXTROMETHORPHAN HYDROBROMIDE STRENGTH: 7.5 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ACETAMINOPHEN/DEXTROMETHORPHAN LIQUID,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 250/DEXTROMETHORPHAN 7.5MG/5ML LIQ
VA PRODUCT IDENTIFIER	A0620
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010228
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE