ESTROGENS,CONJUGATED 0.625MG,28TAB/MEDROXYPROGESTERONE 5MG,14TAB (12343) VA PRODUCT (50.68)

Name	Value
NAME	ESTROGENS,CONJUGATED 0.625MG,28TAB/MEDROXYPROGESTERONE 5MG,14TAB
VA GENERIC NAME	ESTROGENS/MEDROXYPROGESTERONE
DOSAGE FORM	TAB,ORAL
ACTIVE INGREDIENTS	ESTROGENS,CONJUGATED STRENGTH: 28TAB X 0.625 UNITS: MG MEDROXYPROGESTERONE ACETATE STRENGTH: 14 TABS X 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-06-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ESTROGENS/MEDROXYPROGESTERONE TAB,ORAL
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	PREMPHASE TAB
VA PRODUCT IDENTIFIER	P0394
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4012709
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-06-14 00:00:00 STATUS: INACTIVE