DESOGESTREL 0.15/ETHINYL ESTRADIOL 0.03MG TAB,28 (17386)    VA PRODUCT (50.68)

Name Value
NAME DESOGESTREL 0.15/ETHINYL ESTRADIOL 0.03MG TAB,28
VA GENERIC NAME DESOGESTREL/ETHINYL ESTRADIOL
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
NATIONAL FORMULARY NAME DESOGESTREL/ETHINYL ESTRADIOL 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 DESOGESTREL 0.15/E-ESTRADIOL 0.03MG 28
VA PRODUCT IDENTIFIER D0669
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CYCLE
MASTER ENTRY FOR VUID YES
VUID 4024818
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE
  • 2010-06-14 00:00:00
    STATUS:   INACTIVE
  • 2021-01-25 00:00:00
    STATUS:   ACTIVE
  • 2021-07-14 00:00:00
    STATUS:   ACTIVE
  • 2021-11-04 00:00:00
    STATUS:   ACTIVE