PRAZOSIN HCL 1MG CAP,UD (13602)    VA PRODUCT (50.68)

Name Value
NAME PRAZOSIN HCL 1MG CAP,UD
VA GENERIC NAME PRAZOSIN
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION 
Refer to PBM/MAP Benign Prostatic Hyperplasia and Hypertension treatment
guidelines for use.
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 1
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME PRAZOSIN CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   1
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PRAZOSIN HCL 1MG CAP UD
VA PRODUCT IDENTIFIER P0528
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4013967
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE