AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALSARTAN 320MG TAB (20632)    VA PRODUCT (50.68)

Name Value
NAME AMLODIPINE 10MG/HYDROCHLOROTHIAZIDE 25MG/VALSARTAN 320MG TAB
VA GENERIC NAME AMLODIPINE/HYDROCHLOROTHIAZIDE/VALSARTAN
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
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 25/VALSAR 320MG TAB
VA PRODUCT IDENTIFIER A1489
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4028657
EFFECTIVE DATE/TIME
  • 2009-06-10 00:00:00
    STATUS:   ACTIVE