FYAVOLV 0.5/2.5 TAB,28 (26720)    VA PRODUCT (50.68)

Name Value
NAME FYAVOLV 0.5/2.5 TAB,28
VA GENERIC NAME ETHINYL ESTRADIOL/NORETHINDRONE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME ETHINYL ESTRADIOL/NORETHINDRONE TAB
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 FYAVOLV 0.5/2.5 TAB,28
VA PRODUCT IDENTIFIER F0600
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CYCLE
MASTER ENTRY FOR VUID YES
VUID 4035557
EFFECTIVE DATE/TIME
  • 2016-03-25 00:00:00
    STATUS:   ACTIVE