PHILITH TAB,28 (24044) VA PRODUCT (50.68)

Name	Value
NAME	PHILITH TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/NORETHINDRONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORETHINDRONE STRENGTH: 0.4 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.035 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL 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	PHILITH TAB,28
VA PRODUCT IDENTIFIER	P1050
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4032570
EFFECTIVE DATE/TIME	2013-07-22 00:00:00 STATUS: ACTIVE