BENAZEPRIL HCL 5MG/HYDROCHLOROTHIAZIDE 6.25MG TAB (12419) VA PRODUCT (50.68)

Name	Value
NAME	BENAZEPRIL HCL 5MG/HYDROCHLOROTHIAZIDE 6.25MG TAB
VA GENERIC NAME	BENAZEPRIL/HYDROCHLOROTHIAZIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 6.25 UNITS: MG BENAZEPRIL HYDROCHLORIDE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENAZEPRIL/HYDROCHLOROTHIAZIDE 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	BENAZEPRIL HCL 5/HCTZ 6.25MG TAB
VA PRODUCT IDENTIFIER	B0275
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4012785
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE