ESTRADIOL 0.05MG/DAY (LYLLANA) PATCH (30562)    VA PRODUCT (50.68)

Name Value
NAME ESTRADIOL 0.05MG/DAY (LYLLANA) PATCH
VA GENERIC NAME ESTRADIOL
DOSAGE FORM PATCH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.05
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/DAY
NATIONAL FORMULARY NAME ESTRADIOL PATCH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-11-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME ESTRADIOL 0.05MG/DAY (LYLLANA) PATCH
VA PRODUCT IDENTIFIER E0824
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4039869
EFFECTIVE DATE/TIME
  • 2020-11-27 00:00:00
    STATUS:   ACTIVE
  • 2020-11-27 00:00:00
    STATUS:   ACTIVE
  • 2020-11-27 00:00:00
    STATUS:   ACTIVE