HYDRALAZINE 25MG/HYDROCHLOROTHIAZIDE 25MG CAP (4903) VA PRODUCT (50.68)

Name	Value
NAME	HYDRALAZINE 25MG/HYDROCHLOROTHIAZIDE 25MG CAP
VA GENERIC NAME	HYDRALAZINE/HYDROCHLOROTHIAZIDE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	HYDROCHLOROTHIAZIDE STRENGTH: 25 UNITS: MG HYDRALAZINE HYDROCHLORIDE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2011-08-03 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	HYDRALAZINE/HYDROCHLOROTHIAZIDE CAP,ORAL
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	HYDRALAZINE 25/HCTZ 25MG CAP
VA PRODUCT IDENTIFIER	H0154
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4005445
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2011-08-03 00:00:00 STATUS: INACTIVE 2011-08-03 00:00:00 STATUS: INACTIVE