LIDOCAINE 0.5% SPRAY,TOP (19996)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 0.5% SPRAY,TOP
VA GENERIC NAME LIDOCAINE
DOSAGE FORM SPRAY,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
UNITS %
NATIONAL FORMULARY NAME LIDOCAINE SPRAY,TOP
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 0.5% TOP SPRAY
VA PRODUCT IDENTIFIER L0440
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4027944
EFFECTIVE DATE/TIME
  • 2008-10-08 00:00:00
    STATUS:   ACTIVE
  • 2009-10-09 00:00:00
    STATUS:   INACTIVE
  • 2011-07-12 00:00:00
    STATUS:   ACTIVE