PENTAERYTHRITOL TETRANITRATE 20MG TAB,ORAL (5868)    VA PRODUCT (50.68)

Name Value
NAME PENTAERYTHRITOL TETRANITRATE 20MG TAB,ORAL
VA GENERIC NAME PENTAERYTHRITOL TETRANITRATE
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 20
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME PENTAERYTHRITOL TETRANITRATE TAB,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 PENTAERYTHRITOL TETRANITRATE 20MG TAB
VA PRODUCT IDENTIFIER P0023
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006391
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE