ESTROGENS,ESTERIFIED 1.25MG/METHYLTESTOSTERONE 2.5MG TAB (4476) VA PRODUCT (50.68)

Name	Value
NAME	ESTROGENS,ESTERIFIED 1.25MG/METHYLTESTOSTERONE 2.5MG TAB
VA GENERIC NAME	ESTROGENS/METHYLTESTOSTERONE
DOSAGE FORM	TAB
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	METHYLTESTOSTERONE STRENGTH: 2.5 UNITS: MG ESTROGENS,ESTERIFIED STRENGTH: 1.25 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III Non-Narcotics
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	4
NATIONAL FORMULARY NAME	ESTROGENS/METHYLTESTOSTERONE TAB
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	ESTROGEN E 1.25/M-TESTOSTERONE 2.5MG TAB
VA PRODUCT IDENTIFIER	E0308
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4005023
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE