| NAME |
NITROGLYCERIN 2.5MG/24HRS PATCH |
| VA GENERIC NAME |
NITROGLYCERIN |
| DOSAGE FORM |
PATCH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2.5 |
| INACTIVATION DATE |
2001-03-01 00:00:00 |
| UNITS |
MG/24HRS |
| DSS NUMBER |
17 |
| NATIONAL FORMULARY NAME |
NITROGLYCERIN PATCH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
NITROGLYCERIN 0.1MG/HR PATCH |
| VA PRODUCT IDENTIFIER |
N0494 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PATCH |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4001240 |
| EFFECTIVE DATE/TIME |
-
- 2001-03-01 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
