LIDOCAINE 4%/MENTHOL 1% SPRAY,TOP (25338)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 4%/MENTHOL 1% SPRAY,TOP
VA GENERIC NAME LIDOCAINE/MENTHOL
DOSAGE FORM SPRAY,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-09-15 00:00:00
NATIONAL FORMULARY NAME LIDOCAINE/MENTHOL 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 4%/MENTHOL 1% TOP SPRAY
VA PRODUCT IDENTIFIER L0645
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4034048
EFFECTIVE DATE/TIME
  • 2015-01-08 00:00:00
    STATUS:   ACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE
  • 2021-09-15 00:00:00
    STATUS:   INACTIVE