IRBESARTAN 75MG TAB (12791)    VA PRODUCT (50.68)

Name Value
NAME IRBESARTAN 75MG TAB
VA GENERIC NAME IRBESARTAN
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 75
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME IRBESARTAN 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 IRBESARTAN 75MG TAB
VA PRODUCT IDENTIFIER I0244
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013156
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE