ALISKIREN 300MG/AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 12.5MG TAB (22225) VA PRODUCT (50.68)

Name	Value
NAME	ALISKIREN 300MG/AMLODIPINE 5MG/HYDROCHLOROTHIAZIDE 12.5MG TAB
VA GENERIC NAME	ALISKIREN/AMLODIPINE/HYDROCHLOROTHIAZIDE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 12.5 UNITS: MG AMLODIPINE BESYLATE STRENGTH: 5 UNITS: MG ALISKIREN HEMIFUMARATE STRENGTH: 300 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2015-06-29 00:00:00
NATIONAL FORMULARY NAME	ALISKIREN/AMLODIPINE/HYDROCHLOROTHIAZIDE 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	AMTURNIDE 300/5/12.5MG TAB
VA PRODUCT IDENTIFIER	A1581
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4030478
EFFECTIVE DATE/TIME	2011-03-04 00:00:00 STATUS: ACTIVE