GLIPIZIDE 2.5MG/METFORMIN HCL 250MG TAB (16124) VA PRODUCT (50.68)

Name	Value
NAME	GLIPIZIDE 2.5MG/METFORMIN HCL 250MG TAB
VA GENERIC NAME	GLIPIZIDE/METFORMIN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	GLIPIZIDE STRENGTH: 2.5 UNITS: MG METFORMIN HYDROCHLORIDE STRENGTH: 250 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	GLIPIZIDE/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	GLIPIZIDE 2.5MG/METFORMIN HCL 250MG TAB
VA PRODUCT IDENTIFIER	G0230
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4016487
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE