PENTAERYTHRITOL TETRANITRATE 80MG TAB,SA (5870)    VA PRODUCT (50.68)

Name Value
NAME PENTAERYTHRITOL TETRANITRATE 80MG TAB,SA
VA GENERIC NAME PENTAERYTHRITOL TETRANITRATE
DOSAGE FORM TAB,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 80
INACTIVATION DATE 2002-09-27 00:00:00
UNITS MG
DSS NUMBER 6
NATIONAL FORMULARY NAME PENTAERYTHRITOL TETRANITRATE TAB,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 80MG SA TAB
VA PRODUCT IDENTIFIER P0184
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4006393
EFFECTIVE DATE/TIME
  • 2002-09-27 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE