ESTRADIOL CYP 5MG/MEDROXYPROGESTERONE ACE 25MG INJ,SUSP,0.5ML (14687) VA PRODUCT (50.68)

Name	Value
NAME	ESTRADIOL CYP 5MG/MEDROXYPROGESTERONE ACE 25MG INJ,SUSP,0.5ML
VA GENERIC NAME	ESTROGENS/MEDROXYPROGESTERONE
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	ESTRADIOL CYPIONATE STRENGTH: 5 UNITS: MG MEDROXYPROGESTERONE ACETATE STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
NATIONAL FORMULARY NAME	ESTROGENS/MEDROXYPROGESTERONE INJ,SUSP
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	ESTRADIOL 5/MEDROXYPROG 25MG INJ 0.5ML
VA PRODUCT IDENTIFIER	XY945
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4015051
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE