| NAME |
ESTRADIOL 2.5MG/GM EMULSION,TOP,PKT,1.74GM |
| VA GENERIC NAME |
ESTRADIOL |
| DOSAGE FORM |
EMULSION,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
2.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/GM |
| NATIONAL FORMULARY NAME |
ESTRADIOL EMULSION,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 2.5MG/GM EMULSION 1.74GM PKT |
| VA PRODUCT IDENTIFIER |
E0424 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4024778 |
| EFFECTIVE DATE/TIME |
-
- 2006-01-24 00:00:00
- STATUS: ACTIVE
|
