PENTAERYTHRITOL TETRANITRATE 30MG CAP,SA (5866)    VA PRODUCT (50.68)

Name Value
NAME PENTAERYTHRITOL TETRANITRATE 30MG CAP,SA
VA GENERIC NAME PENTAERYTHRITOL TETRANITRATE
DOSAGE FORM CAP,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 30
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG
DSS NUMBER 2
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4006389
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE