FELODIPINE 5MG TAB,SA,UD (13358)    VA PRODUCT (50.68)

Name Value
NAME FELODIPINE 5MG TAB,SA,UD
VA GENERIC NAME FELODIPINE
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP criteria for use of long-acting dihydropyridine calcium 
antagonists
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2019-09-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME FELODIPINE TAB,SA
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 FELODIPINE 5MG SA TAB UD
VA PRODUCT IDENTIFIER F0205
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013723
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE
  • 2019-09-16 00:00:00
    STATUS:   INACTIVE