DROSPIRENONE 3MG/ETHINYL ESTRADIOL 0.03MG TAB,28 (30457)    VA PRODUCT (50.68)

Name Value
NAME DROSPIRENONE 3MG/ETHINYL ESTRADIOL 0.03MG TAB,28
VA GENERIC NAME DROSPIRENONE/ETHINYL ESTRADIOL
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
NATIONAL FORMULARY NAME DROSPIRENONE/ETHINYL ESTRADIOL TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-10-19 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME DROSPIRENONE 3MG/EE 0.03MG TAB,28
VA PRODUCT IDENTIFIER D1251
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CYCLE
MASTER ENTRY FOR VUID YES
VUID 4039755
EFFECTIVE DATE/TIME
  • 2020-10-19 00:00:00
    STATUS:   ACTIVE
  • 2020-10-19 00:00:00
    STATUS:   ACTIVE
  • 2020-10-19 00:00:00
    STATUS:   ACTIVE