| NAME |
NITROGLYCERIN (NITROSTAT) 0.4MG TAB,SUBLINGUAL,BTL,25 |
| VA GENERIC NAME |
NITROGLYCERIN |
| DOSAGE FORM |
TAB,SUBLINGUAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
0.4 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2019-02-19 00:00:00 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
NITROGLYCERIN TAB,SUBLINGUAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 1
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2018-12-31 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2019-01-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
NITROGLYCERIN(NITROSTAT)0.4MG SL BTL 25 |
| VA PRODUCT IDENTIFIER |
N0600 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
BTL |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4028538 |
| EFFECTIVE DATE/TIME |
-
- 2009-04-08 00:00:00
- STATUS: ACTIVE
-
- 2019-02-19 00:00:00
- STATUS: INACTIVE
|
