ACTIVELLA 0.5MG/0.1MG TAB,28 (18384) VA PRODUCT (50.68)

Name	Value
NAME	ACTIVELLA 0.5MG/0.1MG TAB,28
VA GENERIC NAME	ESTRADIOL/NORETHINDRONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 0.1 UNITS: MG ESTRADIOL STRENGTH: 0.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2020-12-15 00:00:00
NATIONAL FORMULARY NAME	ESTRADIOL/NORETHINDRONE 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	ACTIVELLA 0.5MG/0.1MG TAB,28
VA PRODUCT IDENTIFIER	A1359
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4026164
EFFECTIVE DATE/TIME	2007-06-19 00:00:00 STATUS: ACTIVE 2020-12-15 00:00:00 STATUS: INACTIVE 2020-12-15 00:00:00 STATUS: INACTIVE 2020-12-15 00:00:00 STATUS: INACTIVE