PENTAERYTHRITOL TETRANITRATE 60MG CAP,SA (5865)    VA PRODUCT (50.68)

Name Value
NAME PENTAERYTHRITOL TETRANITRATE 60MG CAP,SA
VA GENERIC NAME PENTAERYTHRITOL TETRANITRATE
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 60
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME PENTAERYTHRITOL TETRANITRATE 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 PENTAERYTHRITOL TETRANITRATE 60MG SA CAP
VA PRODUCT IDENTIFIER P0179
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4006388
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE