PREMPRO 0.625MG/5MG TAB,28 PACK (12347) VA PRODUCT (50.68)

Name	Value
NAME	PREMPRO 0.625MG/5MG TAB,28 PACK
VA GENERIC NAME	ESTROGENS/MEDROXYPROGESTERONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	ESTROGENS,CONJUGATED STRENGTH: 0.625 UNITS: MG MEDROXYPROGESTERONE ACETATE STRENGTH: 5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	5
NATIONAL FORMULARY NAME	ESTROGENS/MEDROXYPROGESTERONE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PREMPRO 0.625MG/5MG TAB,28 PACK
VA PRODUCT IDENTIFIER	P0510
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4012713
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE