LOJAIMIESS 20MCG/0.1MG TAB,91 (29993) VA PRODUCT (50.68)

Name	Value
NAME	LOJAIMIESS 20MCG/0.1MG TAB,91
VA GENERIC NAME	ETHINYL ESTRADIOL/LEVONORGESTREL
DOSAGE FORM	TAB,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ETHINYL ESTRADIOL STRENGTH: 20 UNITS: MCG LEVONORGESTREL STRENGTH: 0.1 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/LEVONORGESTREL TAB,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2020-03-19 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	LOJAIMIESS 20MCG/0.1MG TAB 91
VA PRODUCT IDENTIFIER	L0847
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CYCLE
MASTER ENTRY FOR VUID	YES
VUID	4039232
EFFECTIVE DATE/TIME	2020-03-20 00:00:00 STATUS: ACTIVE