INTROVALE 30MCG/0.15MG TAB,EC,91 (23784) VA PRODUCT (50.68)

Name	Value
NAME	INTROVALE 30MCG/0.15MG TAB,EC,91
VA GENERIC NAME	ETHINYL ESTRADIOL/LEVONORGESTREL
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHINYL ESTRADIOL STRENGTH: 30 UNITS: MCG LEVONORGESTREL STRENGTH: 0.15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2021-08-16 00:00:00
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/LEVONORGESTREL 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	INTROVALE 30MCG/0.15MG EC TAB 91
VA PRODUCT IDENTIFIER	I0542
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4032278
EFFECTIVE DATE/TIME	2013-04-11 00:00:00 STATUS: ACTIVE 2021-08-16 00:00:00 STATUS: INACTIVE 2021-08-16 00:00:00 STATUS: INACTIVE 2021-08-16 00:00:00 STATUS: INACTIVE