PROGESTERONE 100MG SUPP,VAG,KIT (24723)    VA PRODUCT (50.68)

Name Value
NAME PROGESTERONE 100MG SUPP,VAG,KIT
VA GENERIC NAME PROGESTERONE
DOSAGE FORM SUPP,VAG
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2016-06-16 00:00:00
UNITS MG
NATIONAL FORMULARY NAME PROGESTERONE SUPP,VAG
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
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 PROGESTERONE 100MG VAG SUPP KIT
VA PRODUCT IDENTIFIER P1077
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4033343
EFFECTIVE DATE/TIME
  • 2014-05-27 00:00:00
    STATUS:   ACTIVE