ETHINYL ESTRADIOL/NORETHINDRONE FE (EQV-LOESTRIN FE 1/20) TAB,28 (28214) VA PRODUCT (50.68)

Name	Value
NAME	ETHINYL ESTRADIOL/NORETHINDRONE FE (EQV-LOESTRIN FE 1/20) TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 1 UNITS: MG FERROUS FUMARATE STRENGTH: 75 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.02 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-03-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	EE/NORETHIN FE(EQV-LOESTRIN FE 1/20),28
VA PRODUCT IDENTIFIER	E0729
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4037200
EFFECTIVE DATE/TIME	2018-01-09 00:00:00 STATUS: ACTIVE