TRI-LO-MARZIA TAB,28 (27303) VA PRODUCT (50.68)

Name	Value
NAME	TRI-LO-MARZIA TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/NORGESTIMATE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORGESTIMATE STRENGTH: 0.180-0.250 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.025 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/NORGESTIMATE 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	TRI-LO-MARZIA TAB 28
VA PRODUCT IDENTIFIER	T0944
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4036201
EFFECTIVE DATE/TIME	2016-11-25 00:00:00 STATUS: ACTIVE