| NAME |
NITROGLYCERIN 0.4MG/PKT POWDER,SUBLINGUAL |
| VA GENERIC NAME |
NITROGLYCERIN |
| DOSAGE FORM |
POWDER,SUBLINGUAL |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
0.4 |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
NITROGLYCERIN POWDER,SUBLINGUAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
NITROGLYCERIN 0.4MG/PKT SUBLINGUAL PWDR |
| VA PRODUCT IDENTIFIER |
N0786 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036087 |
| EFFECTIVE DATE/TIME |
-
- 2016-09-30 00:00:00
- STATUS: ACTIVE
|
