CHLORTHALIDONE 15MG/CLONIDINE HCL 0.2MG TAB (7144) VA PRODUCT (50.68)

Name	Value
NAME	CHLORTHALIDONE 15MG/CLONIDINE HCL 0.2MG TAB
VA GENERIC NAME	CHLORTHALIDONE/CLONIDINE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	CLONIDINE HYDROCHLORIDE STRENGTH: 0.2 UNITS: MG CHLORTHALIDONE STRENGTH: 15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2019-03-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CHLORTHALIDONE/CLONIDINE 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 COPAY END DATE: 2018-12-27 00:00:00 COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-12-28 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CHLORTHALIDONE 15/CLONIDINE 0.2MG TAB
VA PRODUCT IDENTIFIER	C0442
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007654
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2019-03-18 00:00:00 STATUS: INACTIVE