ETHINYL ESTRADIOL/NORETHINDRONE (EQV-LOESTRIN 1.5/30) TAB,21 (29574) VA PRODUCT (50.68)

Name	Value
NAME	ETHINYL ESTRADIOL/NORETHINDRONE (EQV-LOESTRIN 1.5/30) TAB,21
VA GENERIC NAME	ETHINYL ESTRADIOL/NORETHINDRONE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 1.5 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.03 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/NORETHINDRONE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2019-10-10 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	EE/NORETHIN (EQV-LOESTRIN 1.5/30)TAB,21
VA PRODUCT IDENTIFIER	E0798
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4038763
EFFECTIVE DATE/TIME	2019-10-10 00:00:00 STATUS: ACTIVE