ETHINYL ESTRADIOL 0.03MG/LEVONORGESTREL 0.15MG EXT CYC TAB,91 (27368) VA PRODUCT (50.68)

Name	Value
NAME	ETHINYL ESTRADIOL 0.03MG/LEVONORGESTREL 0.15MG EXT CYC TAB,91
VA GENERIC NAME	ETHINYL ESTRADIOL/LEVONORGESTREL
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHINYL ESTRADIOL STRENGTH: 0.03 UNITS: MG LEVONORGESTREL STRENGTH: 0.15 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/LEVONORGESTREL 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	EE 0.03MG/LEVONORG 0.15MG EXT CYC TAB,91
VA PRODUCT IDENTIFIER	E0696
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4036271
EFFECTIVE DATE/TIME	2016-12-14 00:00:00 STATUS: ACTIVE