AMABELZ 1MG/0.5MG TAB,28 (27389)    VA PRODUCT (50.68)

Name Value
NAME AMABELZ 1MG/0.5MG TAB,28
VA GENERIC NAME ESTRADIOL/NORETHINDRONE
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME 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 AMABELZ 1MG/0.5MG TAB,28
VA PRODUCT IDENTIFIER A1922
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CYCLE
MASTER ENTRY FOR VUID YES
VUID 4036296
EFFECTIVE DATE/TIME
  • 2016-12-29 00:00:00
    STATUS:   ACTIVE