DILTIAZEM (CARDIZEM CD) 360MG SA CAP (14039)    VA PRODUCT (50.68)

Name Value
NAME DILTIAZEM (CARDIZEM CD) 360MG SA CAP
VA GENERIC NAME DILTIAZEM
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 360
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 NO
POSSIBLE DOSAGES TO CREATE 1x Possible Dosage
PACKAGE Both Inpatient and Outpatient
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) 360MG SA CAP
VA PRODUCT IDENTIFIER D0504
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4014403
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-20 00:00:00
    STATUS:   INACTIVE
  • 2009-08-11 00:00:00
    STATUS:   ACTIVE