| NAME |
ESTRADIOL 1.53MG/SPRAY SPRAY,TOP,8.1ML |
| VA GENERIC NAME |
ESTRADIOL |
| DOSAGE FORM |
SPRAY,TOP |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1.53 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/SPRAY |
| NATIONAL FORMULARY NAME |
ESTRADIOL SPRAY,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ESTRADIOL 1.53MG/SPRAY 56D TOP SPRAY |
| VA PRODUCT IDENTIFIER |
E0504 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4027659 |
| EFFECTIVE DATE/TIME |
-
- 2008-07-17 00:00:00
- STATUS: ACTIVE
|
