KELNOR 1/50 TAB,28 (28376) VA PRODUCT (50.68)

Name	Value
NAME	KELNOR 1/50 TAB,28
VA GENERIC NAME	ETHINYL ESTRADIOL/ETHYNODIOL DIACETATE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHINYL ESTRADIOL STRENGTH: 50 UNITS: MCG ETHYNODIOL DIACETATE STRENGTH: 1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/ETHYNODIOL DIACETATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2018-05-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	KELNOR 1/50 TAB,28
VA PRODUCT IDENTIFIER	K0071
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4037379
EFFECTIVE DATE/TIME	2018-03-16 00:00:00 STATUS: ACTIVE