METHENAMINE MANDELATE 500MG/NA BIPHOSPHATE 500MG TAB (6247) VA PRODUCT (50.68)

Name	Value
NAME	METHENAMINE MANDELATE 500MG/NA BIPHOSPHATE 500MG TAB
VA GENERIC NAME	METHENAMINE/SODIUM BIPHOSPHATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	METHENAMINE MANDELATE STRENGTH: 500 UNITS: MG SODIUM BIPHOSPHATE STRENGTH: 500 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	3
NATIONAL FORMULARY NAME	METHENAMINE/SODIUM BIPHOSPHATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	METHENAMINE MAND 500/NA BIPHOS 500MG TAB
VA PRODUCT IDENTIFIER	M0260
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006767
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE