CILOSTAZOL 50MG TAB (13303)    VA PRODUCT (50.68)

Name Value
NAME CILOSTAZOL 50MG TAB
VA GENERIC NAME CILOSTAZOL
DOSAGE FORM TAB
FORMULARY DESIGNATOR PA-F
FORMULARY DESIGNATOR TEXT
Cilostazol should not be used in patients with heart failure (HF) with reduced ejection fraction. Note: FDA labeling does not specify the classification or degree of HF severity that should be avoided. The concern is based on extrapolated data from
oral m
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME CILOSTAZOL TAB
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 CILOSTAZOL 50MG TAB
VA PRODUCT IDENTIFIER C0869
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4013668
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE