HYDROCHLOROTHIAZIDE 50MG/METOPROLOL 100MG TAB (4049) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCHLOROTHIAZIDE 50MG/METOPROLOL 100MG TAB
VA GENERIC NAME	HYDROCHLOROTHIAZIDE/METOPROLOL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 50 UNITS: MG METOPROLOL TARTRATE STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	3
NATIONAL FORMULARY NAME	HYDROCHLOROTHIAZIDE/METOPROLOL 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	YES
PGX SUPPRESSED	NO
VA PRINT NAME	HCTZ 50/METOPROLOL 100MG TAB
VA PRODUCT IDENTIFIER	H0138
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004602
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE