| NAME |
LIDOCAINE 70MG/TETRACAINE 70MG PATCH |
| VA GENERIC NAME |
LIDOCAINE/TETRACAINE |
| DOSAGE FORM |
PATCH |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| NATIONAL FORMULARY NAME |
LIDOCAINE/TETRACAINE PATCH |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2023-01-11 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2023-01-12 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LIDOCAINE 70MG/TETRACAINE 70MG PATCH |
| VA PRODUCT IDENTIFIER |
L0376 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
PATCH |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4025542 |
| EFFECTIVE DATE/TIME |
-
- 2006-09-05 00:00:00
- STATUS: ACTIVE
|
