ORTHO EVRA 150/35MCG/24HR PATCH (24744) VA PRODUCT (50.68)

Name	Value
NAME	ORTHO EVRA 150/35MCG/24HR PATCH
VA GENERIC NAME	ETHINYL ESTRADIOL/NORELGESTROMIN
DOSAGE FORM	PATCH
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORELGESTROMIN STRENGTH: 150 UNITS: MCG/24HR ETHINYL ESTRADIOL STRENGTH: 35 UNITS: MCG/24HR
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2015-02-18 00:00:00
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/NORELGESTROMIN PATCH
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	ORTHO EVRA 150/35MCG/24HR PATCH
VA PRODUCT IDENTIFIER	O0350
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PATCH
MASTER ENTRY FOR VUID	YES
VUID	4033368
EFFECTIVE DATE/TIME	2014-06-12 00:00:00 STATUS: ACTIVE