CRYSELLE TAB,28 (17154) VA PRODUCT (50.68)

Name	Value
NAME	CRYSELLE TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/NORGESTREL
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHINYL ESTRADIOL STRENGTH: 30 UNITS: MCG NORGESTREL STRENGTH: 0.3 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/NORGESTREL 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	CRYSELLE TAB,28
VA PRODUCT IDENTIFIER	C1195
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4024586
EFFECTIVE DATE/TIME	2006-01-24 00:00:00 STATUS: ACTIVE