ESTRONE 2.5MG/PROGESTERONE 2.5MG INJ,SUSP (6676) VA PRODUCT (50.68)

Name	Value
NAME	ESTRONE 2.5MG/PROGESTERONE 2.5MG INJ,SUSP
VA GENERIC NAME	ESTRONE/PROGESTERONE
DOSAGE FORM	INJ,SUSP
ACTIVE INGREDIENTS	ESTRONE STRENGTH: 2.5 UNITS: MG PROGESTERONE STRENGTH: 2.5 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ESTRONE/PROGESTERONE INJ,SUSP
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	4007192
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE