TRIAMTERENE 50MG CAP (7059)    VA PRODUCT (50.68)

Name Value
NAME TRIAMTERENE 50MG CAP
VA GENERIC NAME TRIAMTERENE
DOSAGE FORM CAP,ORAL
FORMULARY DESIGNATOR TEXT 
VISNs/facilities are to determine management of patients currently prescribed triamterene (e.g. grandfathered use, consider alternate formulary medications as indicated, etc.) removal of VANF is for the triamterene alone product.
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
DSS NUMBER 1
NATIONAL FORMULARY NAME TRIAMTERENE CAP,ORAL
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:   2019-08-28 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-08-29 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TRIAMTERENE 50MG CAP
VA PRODUCT IDENTIFIER T0101
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4007569
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE