HYDROCHLOROTHIAZIDE 50MG/PROPRANOLOL HCL 120MG CAP,SA (4447) VA PRODUCT (50.68)

Name	Value
NAME	HYDROCHLOROTHIAZIDE 50MG/PROPRANOLOL HCL 120MG CAP,SA
VA GENERIC NAME	HYDROCHLOROTHIAZIDE/PROPRANOLOL
DOSAGE FORM	CAP,SA
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 50 UNITS: MG PROPRANOLOL HYDROCHLORIDE STRENGTH: 120 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-20 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	HYDROCHLOROTHIAZIDE/PROPRANOLOL CAP,SA
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	HCTZ 50/PROPRANOLOL 120MG SA CAP
VA PRODUCT IDENTIFIER	H0139
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004994
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-20 00:00:00 STATUS: INACTIVE