ISONIAZID 50MG/PYRAZINAMIDE 300MG/RIFAMPIN 120MG TAB (12148) VA PRODUCT (50.68)

Name	Value
NAME	ISONIAZID 50MG/PYRAZINAMIDE 300MG/RIFAMPIN 120MG TAB
VA GENERIC NAME	ISONIAZID/PYRAZINAMIDE/RIFAMPIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	RIFAMPIN STRENGTH: 120 UNITS: MG PYRAZINAMIDE STRENGTH: 300 UNITS: MG ISONIAZID STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2021-06-15 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ISONIAZID/PYRAZINAMIDE/RIFAMPIN TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00 COPAY END DATE: 2021-05-19 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2021-05-20 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	INH 50/PYRAZINAMID 300/RIFAMPN 120MG TAB
VA PRODUCT IDENTIFIER	I0180
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4012514
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2021-06-15 00:00:00 STATUS: INACTIVE 2021-06-15 00:00:00 STATUS: INACTIVE 2021-06-15 00:00:00 STATUS: INACTIVE