AMLODIPINE BESYLATE 10MG/TELMISARTAN 40MG TAB (21495) VA PRODUCT (50.68)

Name	Value
NAME	AMLODIPINE BESYLATE 10MG/TELMISARTAN 40MG TAB
VA GENERIC NAME	AMLODIPINE/TELMISARTAN
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	AMLODIPINE BESYLATE STRENGTH: 10 UNITS: MG TELMISARTAN STRENGTH: 40 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	AMLODIPINE/TELMISARTAN 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 10MG/TELMISARTAN 40MG TAB
VA PRODUCT IDENTIFIER	A1540
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4029642
EFFECTIVE DATE/TIME	2010-02-09 00:00:00 STATUS: ACTIVE