DILTIAZEM (CARDIZEM LA) 180MG SA TAB (17600)    VA PRODUCT (50.68)

Name Value
NAME DILTIAZEM (CARDIZEM LA) 180MG SA TAB
VA GENERIC NAME DILTIAZEM
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 180
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2014-12-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME DILTIAZEM TAB,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 LA) 180MG SA TAB
VA PRODUCT IDENTIFIER D0689
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4025132
EFFECTIVE DATE/TIME
  • 2006-05-22 00:00:00
    STATUS:   ACTIVE