AZILSARTAN MEDOXOMIL 40MG/CHLORTHALIDONE 25MG TAB (23099) VA PRODUCT (50.68)

Name	Value
NAME	AZILSARTAN MEDOXOMIL 40MG/CHLORTHALIDONE 25MG TAB
VA GENERIC NAME	AZILSARTAN/CHLORTHALIDONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	AZILSARTAN MEDOXOMIL STRENGTH: 40 UNITS: MG CHLORTHALIDONE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	AZILSARTAN/CHLORTHALIDONE 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	AZILSARTAN 40/CHLORTHALIDONE 25MG TAB
VA PRODUCT IDENTIFIER	A1655
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4031491
EFFECTIVE DATE/TIME	2012-06-11 00:00:00 STATUS: ACTIVE