| NAME |
ESTRADIOL 0.1% 1.25MG/PKT GEL,TOP |
| VA GENERIC NAME |
ESTRADIOL |
| DOSAGE FORM |
GEL,TOP |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
1.25 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
MG/PKT |
| NATIONAL FORMULARY NAME |
ESTRADIOL GEL,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2020-01-16 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ESTRADIOL 0.1% 1.25MG/PKT TOP GEL |
| VA PRODUCT IDENTIFIER |
E0801 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039072 |
| EFFECTIVE DATE/TIME |
-
- 2020-01-16 00:00:00
- STATUS: ACTIVE
|
