NIFEDIPINE 10MG TAB (4038)    VA PRODUCT (50.68)

Name Value
NAME NIFEDIPINE 10MG TAB
VA GENERIC NAME NIFEDIPINE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP criteria for use of long-acting dihydropyridine calcium 
antagonists
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG
DSS NUMBER 9
NATIONAL FORMULARY NAME NIFEDIPINE 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 NIFEDIPINE 10MG TAB
VA PRODUCT IDENTIFIER N0279
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004591
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE