BEPRIDIL HCL 300MG TAB (8798)    VA PRODUCT (50.68)

Name Value
NAME BEPRIDIL HCL 300MG TAB
VA GENERIC NAME BEPRIDIL
DOSAGE FORM TAB,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 300
INACTIVATION DATE 2007-09-18 00:00:00
UNITS MG
DSS NUMBER 2
NATIONAL FORMULARY NAME BEPRIDIL TAB,ORAL
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 BEPRIDIL HCL 300MG TAB
VA PRODUCT IDENTIFIER B0013
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4009255
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE