AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 12.5MG/VALSARTAN 160MG TAB (20629) VA PRODUCT (50.68)

Name	Value
NAME	AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 12.5MG/VALSARTAN 160MG TAB
VA GENERIC NAME	AMLODIPINE/HYDROCHLOROTHIAZIDE/VALSARTAN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 12.5 UNITS: MG AMLODIPINE BESYLATE STRENGTH: 10 UNITS: MG VALSARTAN STRENGTH: 160 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	AMLODIPINE/HYDROCHLOROTHIAZIDE/VALSARTAN 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 10/HCTZ 12.5/VALSAR 160MG TAB
VA PRODUCT IDENTIFIER	A1486
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4028654
EFFECTIVE DATE/TIME	2009-06-10 00:00:00 STATUS: ACTIVE