| NAME |
LO MINASTRIN FE TAB,CHEWABLE,28 |
| VA GENERIC NAME |
ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE |
| DOSAGE FORM |
TAB,CHEWABLE |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| INACTIVATION DATE |
2016-03-24 00:00:00 |
| NATIONAL FORMULARY NAME |
ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE TAB,CHEWABLE |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LO MINASTRIN FE CHEW TAB,28 |
| VA PRODUCT IDENTIFIER |
L0602 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
CYCLE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4032692 |
| EFFECTIVE DATE/TIME |
-
- 2013-09-13 00:00:00
- STATUS: ACTIVE
|
