BENZETHONIUM CL 0.2%/BENZOCAINE 20% SPRAY,TOP (20719)    VA PRODUCT (50.68)

Name Value
NAME BENZETHONIUM CL 0.2%/BENZOCAINE 20% SPRAY,TOP
VA GENERIC NAME BENZETHONIUM CHLORIDE/BENZOCAINE
DOSAGE FORM SPRAY,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2012-04-04 00:00:00
NATIONAL FORMULARY NAME BENZETHONIUM CHLORIDE/BENZOCAINE 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 BENZETHONIUM 0.2/BENZOC 20% TOP SPRAY
VA PRODUCT IDENTIFIER B0625
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4028758
EFFECTIVE DATE/TIME
  • 2009-07-09 00:00:00
    STATUS:   ACTIVE
  • 2012-04-04 00:00:00
    STATUS:   INACTIVE