ETHINYL ESTRADIOL 0.03MG/FE FUMARATE 75MG/NORETHINDRONE 1.5MG TB (5246) VA PRODUCT (50.68)

Name	Value
NAME	ETHINYL ESTRADIOL 0.03MG/FE FUMARATE 75MG/NORETHINDRONE 1.5MG TB
VA GENERIC NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	NORETHINDRONE ACETATE STRENGTH: 1.5 UNITS: MG FERROUS FUMARATE STRENGTH: 75 UNITS: MG ETHINYL ESTRADIOL STRENGTH: 0.03 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-06-14 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	ETHINYL ESTRADIOL/FERROUS FUMARATE/NORETHINDRONE 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4005782
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-06-14 00:00:00 STATUS: INACTIVE