EPLERENONE 50MG TAB,UD (15990)    VA PRODUCT (50.68)

Name Value
NAME EPLERENONE 50MG TAB,UD
VA GENERIC NAME EPLERENONE
DOSAGE FORM TAB
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Restricted to intolerance to spironolactone
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
NATIONAL FORMULARY NAME EPLERENONE 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 EPLERENONE 50MG TAB UD
VA PRODUCT IDENTIFIER E0355
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4016353
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE