SOLIA TAB,28 (17636) VA PRODUCT (50.68)

Name	Value
NAME	SOLIA TAB,28
VA GENERIC NAME	DESOGESTREL/ETHINYL ESTRADIOL
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DESOGESTREL STRENGTH: 0.15 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.03 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2023-01-17 00:00:00
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	SOLIA TAB,28
VA PRODUCT IDENTIFIER	S0455
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4025168
EFFECTIVE DATE/TIME	2006-05-22 00:00:00 STATUS: ACTIVE 2023-01-17 00:00:00 STATUS: INACTIVE