| NAME |
PREMPRO TAB,28 PACK |
| VA GENERIC NAME |
ESTROGENS/MEDROXYPROGESTERONE |
| DOSAGE FORM |
TAB |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| INACTIVATION DATE |
1999-02-02 00:00:00 |
| DSS NUMBER |
4 |
| NATIONAL FORMULARY NAME |
ESTROGENS/MEDROXYPROGESTERONE TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
PREMPRO TAB,28 PACK |
| VA PRODUCT IDENTIFIER |
P0414 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CYCLE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4012712 |
| EFFECTIVE DATE/TIME |
-
- 1999-02-02 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
