NITROGLYCERIN 0.4MG TAB,SUBLINGUAL,BTL,25 (652)    VA PRODUCT (50.68)

Name Value
NAME NITROGLYCERIN 0.4MG TAB,SUBLINGUAL,BTL,25
VA GENERIC NAME NITROGLYCERIN
DOSAGE FORM TAB,SUBLINGUAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.4
UNITS MG
DSS NUMBER 40
NATIONAL FORMULARY NAME NITROGLYCERIN TAB,SUBLINGUAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2017-06-04 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2017-06-05 00:00:00
    COPAY END DATE:   2017-12-31 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2018-01-01 00:00:00
    COPAY END DATE:   2018-12-31 00:00:00
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2019-01-01 00:00:00
VA PRINT NAME NITROGLYCERIN 0.4MG SL TAB BTL 25
VA PRODUCT IDENTIFIER N0296
TRANSMIT TO CMOP YES
VA DISPENSE UNIT BTL
MASTER ENTRY FOR VUID YES
VUID 4001263
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-04-16 00:00:00
    STATUS:   INACTIVE