| NAME |
LEVONORGESTREL (EQV-PLAN B) 1.5MG TAB,PKG,1 |
| VA GENERIC NAME |
LEVONORGESTREL |
| DOSAGE FORM |
TAB |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
LEVONORGESTREL TAB |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
1x Possible Dosage |
| PACKAGE |
Both Inpatient and Outpatient |
| 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 |
LEVONORGESTREL (EQV-PLAN B) 1.5MG PKG 1 |
| VA PRODUCT IDENTIFIER |
L0637 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKG |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4033832 |
| EFFECTIVE DATE/TIME |
-
- 2014-11-12 00:00:00
- STATUS: ACTIVE
|
