DIETHYLSTILBESTROL DIPHOSPHATE 50MG TAB (117) VA PRODUCT (50.68)

Name	Value
NAME	DIETHYLSTILBESTROL DIPHOSPHATE 50MG TAB
VA GENERIC NAME	DIETHYLSTILBESTROL
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	DIETHYLSTILBESTROL DIPHOSPHATE STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	50
INACTIVATION DATE	2007-09-19 00:00:00
UNITS	MG
DSS NUMBER	4
NATIONAL FORMULARY NAME	DIETHYLSTILBESTROL 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
VA PRINT NAME	DIETHYLSTILBESTROL DIPHOSPHATE 50MG TAB
VA PRODUCT IDENTIFIER	D0072
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4000740
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-19 00:00:00 STATUS: INACTIVE