ACTIVELLA TAB,28 PACK (14403) VA PRODUCT (50.68)

Name	Value
NAME	ACTIVELLA TAB,28 PACK
VA GENERIC NAME	ESTRADIOL/NORETHINDRONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORETHINDRONE STRENGTH: 0.5 UNITS: MG ESTRADIOL STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2007-06-07 00:00:00
NATIONAL FORMULARY NAME	ESTRADIOL/NORETHINDRONE TAB
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	ACTIVELLA TAB,28 PACK
VA PRODUCT IDENTIFIER	A1051
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4014767
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-06-07 00:00:00 STATUS: INACTIVE