ALISKIREN 300MG/AMLODIPINE 10MG TAB (21936) VA PRODUCT (50.68)

Name	Value
NAME	ALISKIREN 300MG/AMLODIPINE 10MG TAB
VA GENERIC NAME	ALISKIREN/AMLODIPINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	AMLODIPINE STRENGTH: 10 UNITS: MG ALISKIREN STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2017-11-17 00:00:00
NATIONAL FORMULARY NAME	ALISKIREN/AMLODIPINE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ALISKIREN 300MG/AMLODIPINE 10MG TAB
VA PRODUCT IDENTIFIER	A1561
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030149
EFFECTIVE DATE/TIME	2010-10-13 00:00:00 STATUS: ACTIVE 2011-10-03 00:00:00 STATUS: INACTIVE 2011-10-11 00:00:00 STATUS: ACTIVE 2017-11-17 00:00:00 STATUS: INACTIVE