ESTRADIOL 0.05MG/NORETHINDRONE ACETATE 0.14MG/24HRS PATCH (13378) VA PRODUCT (50.68)

Name	Value
NAME	ESTRADIOL 0.05MG/NORETHINDRONE ACETATE 0.14MG/24HRS PATCH
VA GENERIC NAME	ESTRADIOL/NORETHINDRONE
DOSAGE FORM	PATCH
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 0.14 UNITS: MG/24HRS ESTRADIOL STRENGTH: 0.05 UNITS: MG/24HRS
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ESTRADIOL/NORETHINDRONE FILM,CONT REL
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	COMBIPATCH 0.05/0.14MG/24HRS PATCH
VA PRODUCT IDENTIFIER	E0471
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PATCH
MASTER ENTRY FOR VUID	YES
VUID	4013743
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE