LOMEDIA FE 24 TAB,28 (24546) VA PRODUCT (50.68)

Name	Value
NAME	LOMEDIA FE 24 TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORETHINDRONE STRENGTH: 1 UNITS: MG FERROUS FUMARATE STRENGTH: 75 UNITS: MCG ETHINYL ESTRADIOL STRENGTH: 20 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2018-02-15 00:00:00
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/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	LOMEDIA FE 24 TAB,28
VA PRODUCT IDENTIFIER	L0622
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4033140
EFFECTIVE DATE/TIME	2014-03-12 00:00:00 STATUS: ACTIVE 2018-02-15 00:00:00 STATUS: INACTIVE