ESTRADIOL 0.045MG/LEVONORGESTREL 0.015MG/DAY (CLIMARA PRO) PATCH (16565) VA PRODUCT (50.68)

Name	Value
NAME	ESTRADIOL 0.045MG/LEVONORGESTREL 0.015MG/DAY (CLIMARA PRO) PATCH
VA GENERIC NAME	ESTRADIOL/LEVONORGESTREL
DOSAGE FORM	PATCH
ACTIVE INGREDIENTS	ESTRADIOL STRENGTH: 0.045 UNITS: MG/DAY LEVONORGESTREL STRENGTH: 0.015 UNITS: MG/DAY
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ESTRADIOL/LEVONORGESTREL PATCH
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	CLIMARA PRO 0.045/0.015MG/DAY PATCH
VA PRODUCT IDENTIFIER	E0379
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PATCH
MASTER ENTRY FOR VUID	YES
VUID	4016928
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE