BENZOCAINE 10MG/MENTHOL 3.6MG LOZENGE (16918) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 10MG/MENTHOL 3.6MG LOZENGE
VA GENERIC NAME	BENZOCAINE/MENTHOL
DOSAGE FORM	LOZENGE
ACTIVE INGREDIENTS	MENTHOL STRENGTH: 3.6 UNITS: MG BENZOCAINE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-03-03 00:00:00
NATIONAL FORMULARY NAME	BENZOCAINE/MENTHOL LOZENGE
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 10MG/MENTHOL 3.6MG LOZENGE
VA PRODUCT IDENTIFIER	B0513
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	LOZ
MASTER ENTRY FOR VUID	YES
VUID	4017281
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-03-03 00:00:00 STATUS: INACTIVE