ESTRADIOL PWDR (1069)    VA PRODUCT (50.68)

Name Value
NAME ESTRADIOL PWDR
VA GENERIC NAME ESTRADIOL
DOSAGE FORM POWDER
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
DSS NUMBER 14
NATIONAL FORMULARY NAME ESTRADIOL POWDER
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ESTRADIOL PWDR
VA PRODUCT IDENTIFIER E0828
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4001673
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE