BENZOCAINE 20%/ORABASE PASTE,DENTAL,PKT,0.75GM (12379) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 20%/ORABASE PASTE,DENTAL,PKT,0.75GM
VA GENERIC NAME	BENZOCAINE/ORABASE
DOSAGE FORM	PASTE
ACTIVE INGREDIENTS	PECTIN MINERAL OIL GELATIN BENZOCAINE STRENGTH: 20 UNITS: % CARBOXYMETHYLCELLULOSE SODIUM
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	20
INACTIVATION DATE	2007-09-18 00:00:00
UNITS	%
DSS NUMBER	2
NATIONAL FORMULARY NAME	BENZOCAINE/ORABASE PASTE
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	BENZOCAINE 20%/ORABASE PASTE PKT 0.75GM
VA PRODUCT IDENTIFIER	B0289
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4012745
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE