METHYLDOPA 125MG TAB (2122)    VA PRODUCT (50.68)

Name Value
NAME METHYLDOPA 125MG TAB
VA GENERIC NAME METHYLDOPA
DOSAGE FORM TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Hypertension treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 125
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME METHYLDOPA 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 METHYLDOPA 125MG TAB
VA PRODUCT IDENTIFIER M0067
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4002705
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE