CLONIDINE HCL 0.3MG CAP (1887)    VA PRODUCT (50.68)

Name Value
NAME CLONIDINE HCL 0.3MG CAP
VA GENERIC NAME CLONIDINE
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.3
INACTIVATION DATE 2002-05-24 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME CLONIDINE CAP,ORAL
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 CLONIDINE HCL 0.3MG CAP
VA PRODUCT IDENTIFIER C0296
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4002472
EFFECTIVE DATE/TIME
  • 2002-05-24 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE