ORTHO-PREFEST 1MG/0.09MG TAB,30 PACK (14315) VA PRODUCT (50.68)

Name	Value
NAME	ORTHO-PREFEST 1MG/0.09MG TAB,30 PACK
VA GENERIC NAME	ESTRADIOL/NORGESTIMATE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORGESTIMATE STRENGTH: 0.09 UNITS: MG ESTRADIOL 17-BETA STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ESTRADIOL/NORGESTIMATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ORTHO-PREFEST 1MG/0.09MG TAB,30 PACK
VA PRODUCT IDENTIFIER	O0130
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4014679
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE