TERAZOSIN HCL 10MG TAB (8293)    VA PRODUCT (50.68)

Name Value
NAME TERAZOSIN HCL 10MG TAB
VA GENERIC NAME TERAZOSIN
DOSAGE FORM TAB
ACTIVE INGREDIENTS
NATIONAL FORMULARY RESTRICTION
Refer to PBM/MAP benign Prostatic Hyperplasia treatment and Hypertension
treatment guidelines
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2007-10-01 00:00:00
UNITS MG
DSS NUMBER 4
NATIONAL FORMULARY NAME TERAZOSIN 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 TERAZOSIN HCL 10MG TAB
VA PRODUCT IDENTIFIER T0003
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4008762
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE