CHLOROTHIAZIDE 500MG/RESERPINE 0.125MG TAB (2290)    VA PRODUCT (50.68)

Name Value
NAME CHLOROTHIAZIDE 500MG/RESERPINE 0.125MG TAB
VA GENERIC NAME CHLOROTHIAZIDE/RESERPINE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2002-09-27 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME CHLOROTHIAZIDE/RESERPINE 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 CHLOROTHIAZIDE 500/RESERPINE 0.125MG TAB
VA PRODUCT IDENTIFIER C0395
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4002873
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE