ETHINYL ESTRADIOL 0.035MG/NORGESTIMATE 0.25MG TAB,28 (27371) VA PRODUCT (50.68)

Name	Value
NAME	ETHINYL ESTRADIOL 0.035MG/NORGESTIMATE 0.25MG TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/NORGESTIMATE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORGESTIMATE STRENGTH: 0.25 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.035 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	EE 0.035MG/NORGESTIMATE 0.25MG TAB,28
VA PRODUCT IDENTIFIER	E0699
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4036274
EFFECTIVE DATE/TIME	2016-12-15 00:00:00 STATUS: ACTIVE