BENZETHONIUM CL 0.2%/LIDOCAINE 2.5% GEL,TOP (25182) VA PRODUCT (50.68)

Name	Value
NAME	BENZETHONIUM CL 0.2%/LIDOCAINE 2.5% GEL,TOP
VA GENERIC NAME	BENZETHONIUM CHLORIDE/LIDOCAINE
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	BENZETHONIUM CHLORIDE STRENGTH: 0.2 UNITS: % LIDOCAINE STRENGTH: 2.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-12-30 00:00:00
NATIONAL FORMULARY NAME	BENZETHONIUM CHLORIDE/LIDOCAINE GEL,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%/LIDOCAINE 2.5% TOP GEL
VA PRODUCT IDENTIFIER	B0749
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4033866
EFFECTIVE DATE/TIME	2014-11-24 00:00:00 STATUS: ACTIVE