METHENAMINE 162MG/NA SALICYLATE 162.5MG TAB (24677) VA PRODUCT (50.68)

Name	Value
NAME	METHENAMINE 162MG/NA SALICYLATE 162.5MG TAB
VA GENERIC NAME	METHENAMINE/SODIUM SALICYLATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	METHENAMINE STRENGTH: 162 UNITS: MG SODIUM SALICYLATE STRENGTH: 162.5 UNITS: MG
NATIONAL FORMULARY NAME	METHENAMINE/SODIUM SALICYLATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	METHENAMINE 162/NA SALICYLATE 162.5MG TB
VA PRODUCT IDENTIFIER	M1019
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4033291
EFFECTIVE DATE/TIME	2014-05-01 00:00:00 STATUS: ACTIVE