| NAME |
BENZOCAINE 5%/GLYCERIN 33% SPRAY,ORAL |
| VA GENERIC NAME |
BENZOCAINE/GLYCERIN |
| DOSAGE FORM |
SPRAY,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2016-02-25 00:00:00 |
| NATIONAL FORMULARY NAME |
BENZOCAINE/GLYCERIN SPRAY,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| 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 5%/GLYCERIN 33% ORAL SPRAY |
| VA PRODUCT IDENTIFIER |
B0677 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4031240 |
| EFFECTIVE DATE/TIME |
-
- 2012-02-06 00:00:00
- STATUS: ACTIVE
|
