BISOPROLOL FUMARATE 10MG/HYDROCHLOROTHIAZIDE 6.25MG TAB (12424) VA PRODUCT (50.68)

Name	Value
NAME	BISOPROLOL FUMARATE 10MG/HYDROCHLOROTHIAZIDE 6.25MG TAB
VA GENERIC NAME	BISOPROLOL/HYDROCHLOROTHIAZIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 6.25 UNITS: MG BISOPROLOL FUMARATE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	BISOPROLOL/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	BISOPROLOL FUMARATE 10/HCTZ 6.25MG TAB
VA PRODUCT IDENTIFIER	B0280
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4012790
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE