LIDOCAINE 2.5%/PRILOCAINE 2.5% FILM,TOP (13380) VA PRODUCT (50.68)

Name	Value
NAME	LIDOCAINE 2.5%/PRILOCAINE 2.5% FILM,TOP
VA GENERIC NAME	LIDOCAINE/PRILOCAINE
DOSAGE FORM	FILM
ACTIVE INGREDIENTS	PRILOCAINE STRENGTH: 2.5 UNITS: % LIDOCAINE STRENGTH: 2.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2007-09-28 00:00:00
NATIONAL FORMULARY NAME	LIDOCAINE/PRILOCAINE FILM
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	LIDOCAINE 2.5/PRILOCAINE 2.5% TOP FILM
VA PRODUCT IDENTIFIER	L0232
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	EA
MASTER ENTRY FOR VUID	YES
VUID	4013745
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE