LEVAMLODIPINE 2.5MG TAB (30439)    VA PRODUCT (50.68)

Name Value
NAME LEVAMLODIPINE 2.5MG TAB
VA GENERIC NAME LEVAMLODIPINE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME LEVAMLODIPINE TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2020-10-01 00:00:00
    COPAY END DATE:   2022-09-21 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-09-22 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LEVAMLODIPINE 2.5MG TAB
VA PRODUCT IDENTIFIER L0852
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4039730
EFFECTIVE DATE/TIME
  • 2020-10-02 00:00:00
    STATUS:   ACTIVE
  • 2020-10-02 00:00:00
    STATUS:   ACTIVE
  • 2020-10-02 00:00:00
    STATUS:   ACTIVE