| NAME |
LEVONORGESTREL 13.5MG INSERT SA, INTRAUTERINE |
| VA GENERIC NAME |
LEVONORGESTREL |
| DOSAGE FORM |
INSERT,INTRAUTERINE |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
13.5 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG |
| NATIONAL FORMULARY NAME |
LEVONORGESTREL INSERT,INTRAUTERINE |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| 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 |
LEVONORGESTREL13.5MG INSERT INTRAUTERINE |
| VA PRODUCT IDENTIFIER |
L0667 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
EA |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034561 |
| EFFECTIVE DATE/TIME |
-
- 2015-06-26 00:00:00
- STATUS: ACTIVE
|
