CHLOROQUINE PO4 500MG/PRIMAQUINE PO4 79MG TAB (3630) VA PRODUCT (50.68)

Name	Value
NAME	CHLOROQUINE PO4 500MG/PRIMAQUINE PO4 79MG TAB
VA GENERIC NAME	CHLOROQUINE/PRIMAQUINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CHLOROQUINE PHOSPHATE STRENGTH: 500 UNITS: MG PRIMAQUINE PHOSPHATE STRENGTH: 79 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-05-24 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CHLOROQUINE/PRIMAQUINE 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	CHLOROQUINE PHOS 500/PRIMAQUINE 79MG TAB
VA PRODUCT IDENTIFIER	C0391
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004193
EFFECTIVE DATE/TIME	2002-05-24 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE