BENDROFLUMETHIAZIDE 4MG/KCL 5.4MEQ/RAUWOLFIA SERP 50MG TAB (1288) VA PRODUCT (50.68)

Name	Value
NAME	BENDROFLUMETHIAZIDE 4MG/KCL 5.4MEQ/RAUWOLFIA SERP 50MG TAB
VA GENERIC NAME	BENDROFLUMETHIAZIDE/POTASSIUM CHLORIDE/RAUWOLFIA SERPENTINA
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	BENDROFLUMETHIAZIDE STRENGTH: 4 UNITS: MG RAUWOLFIA SERPENTINA STRENGTH: 50 UNITS: MG POTASSIUM CHLORIDE STRENGTH: 400 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENDROFLUMETHIAZIDE/POTASSIUM CHLORIDE/RAUWOLFIA SERPENTINA 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4001889
EFFECTIVE DATE/TIME	2002-09-27 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE 2007-10-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE