AMLODIPINE BESYLATE 5MG/OLMESARTAN MEDOXOMIL 20MG TAB,UD (19035) VA PRODUCT (50.68)

Name	Value
NAME	AMLODIPINE BESYLATE 5MG/OLMESARTAN MEDOXOMIL 20MG TAB,UD
VA GENERIC NAME	AMLODIPINE/OLMESARTAN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	AMLODIPINE BESYLATE STRENGTH: 5 UNITS: MG OLMESARTAN MEDOXOMIL STRENGTH: 20MG UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-06-21 00:00:00
NATIONAL FORMULARY NAME	AMLODIPINE/OLMESARTAN 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	AMLODIPINE 5MG/OLMESARTAN 20MG TAB UD
VA PRODUCT IDENTIFIER	A1425
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4026873
EFFECTIVE DATE/TIME	2007-12-20 00:00:00 STATUS: ACTIVE 2012-06-21 00:00:00 STATUS: INACTIVE