| NAME |
HYDRALAZINE 25MG/HCTZ 15MG/RESERPINE 0.1MG TAB |
| VA GENERIC NAME |
HYDRALAZINE/HYDROCHLOROTHIAZIDE/RESERPINE |
| DOSAGE FORM |
TAB |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
2009-11-17 00:00:00 |
| DSS NUMBER |
1 |
| NATIONAL FORMULARY NAME |
HYDRALAZINE/HYDROCHLOROTHIAZIDE/RESERPINE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
HYDRALAZINE 25/HCTZ 15/RESERP 0.1MG TAB |
| VA PRODUCT IDENTIFIER |
H0090 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
TAB |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4002697 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2009-11-17 00:00:00
- STATUS: INACTIVE
|
