BLISOVI FE 1-20 TAB,28 (26402) VA PRODUCT (50.68)

Name	Value
NAME	BLISOVI FE 1-20 TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 1 UNITS: MG FERROUS FUMARATE STRENGTH: 75 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 20 UNITS: MCG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE TAB
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	BLISOVI FE 1-20 TAB,28
VA PRODUCT IDENTIFIER	B0792
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4035219
EFFECTIVE DATE/TIME	2015-12-17 00:00:00 STATUS: ACTIVE