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
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