TERAZOSIN HCL 5MG CAP,UD (13610)    VA PRODUCT (50.68)

Name Value
NAME TERAZOSIN HCL 5MG CAP,UD
VA GENERIC NAME TERAZOSIN
DOSAGE FORM CAP,ORAL
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION
Refer to PBM/MAP benign Prostatic Hyperplasia treatment and Hypertension
treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 5
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG
NATIONAL FORMULARY NAME TERAZOSIN 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 TERAZOSIN HCL 5MG CAP UD
VA PRODUCT IDENTIFIER T0464
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4013975
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE