ALISKIREN 300MG/HYDROCHLOROTHIAZIDE 12.5MG TAB (19818) VA PRODUCT (50.68)

Name	Value
NAME	ALISKIREN 300MG/HYDROCHLOROTHIAZIDE 12.5MG TAB
VA GENERIC NAME	ALISKIREN/HYDROCHLOROTHIAZIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 12.5 UNITS: MG ALISKIREN STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ALISKIREN/HYDROCHLOROTHIAZIDE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ALISKIREN 300MG/HCTZ 12.5MG TAB
VA PRODUCT IDENTIFIER	A1465
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4027748
EFFECTIVE DATE/TIME	2008-08-20 00:00:00 STATUS: ACTIVE