ETHINYL ESTRADIOL 0.02-0.01MG/LEVONORGESTREL 0.1MG TAB,91 (31492)    VA PRODUCT (50.68)

Name Value
NAME ETHINYL ESTRADIOL 0.02-0.01MG/LEVONORGESTREL 0.1MG TAB,91
VA GENERIC NAME ETHINYL ESTRADIOL/LEVONORGESTREL
DOSAGE FORM TAB
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
NATIONAL FORMULARY NAME ETHINYL ESTRADIOL/LEVONORGESTREL TAB
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-10-21 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME EE 0.02-0.01MG/LEVONORG 0.1MG TAB,91
VA PRODUCT IDENTIFIER E0845
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CYCLE
MASTER ENTRY FOR VUID YES
VUID 4040889
EFFECTIVE DATE/TIME
  • 2021-10-21 00:00:00
    STATUS:   ACTIVE
  • 2021-10-21 00:00:00
    STATUS:   ACTIVE
  • 2021-10-21 00:00:00
    STATUS:   ACTIVE
  • 2021-10-21 00:00:00
    STATUS:   ACTIVE