GLYBURIDE 1.25MG/METFORMIN HCL 250MG TAB (14537) VA PRODUCT (50.68)

Name	Value
NAME	GLYBURIDE 1.25MG/METFORMIN HCL 250MG TAB
VA GENERIC NAME	GLYBURIDE/METFORMIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	METFORMIN HYDROCHLORIDE STRENGTH: 250 UNITS: MG GLYBURIDE STRENGTH: 1.25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GLYBURIDE/METFORMIN 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	GLYBURIDE 1.25MG/METFORMIN HCL 250MG TAB
VA PRODUCT IDENTIFIER	G0204
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4014901
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE