DROSPIRENONE 3MG/ETHINYL ESTRADIOL 0.02MG/LMFA TAB,28 (29303) VA PRODUCT (50.68)

Name	Value
NAME	DROSPIRENONE 3MG/ETHINYL ESTRADIOL 0.02MG/LMFA TAB,28
VA GENERIC NAME	DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	DROSPIRENONE STRENGTH: 3 UNITS: MG LEVOMEFOLATE CALCIUM STRENGTH: 0.451 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.02 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-06-07 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	DROSPIRENONE 3MG/EE 0.02MG/LMFA TAB,28
VA PRODUCT IDENTIFIER	D1210
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4038448
EFFECTIVE DATE/TIME	2019-06-07 00:00:00 STATUS: ACTIVE