DILTIAZEM (CARDIZEM CD) 240MG SA CAP,UD (13565)    VA PRODUCT (50.68)

Name Value
NAME DILTIAZEM (CARDIZEM CD) 240MG SA CAP,UD
VA GENERIC NAME DILTIAZEM
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 240
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2014-12-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME DILTIAZEM CAP,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 DILTIAZEM (CARDIZEM CD) 240MG SA CAP UD
VA PRODUCT IDENTIFIER D0484
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4013930
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE