| NAME |
CELECOXIB 200MG CAP/LIDOCAINE 1%/MENTHOL 4% PATCH KIT,45 |
| VA GENERIC NAME |
CELECOXIB/LIDOCAINE/MENTHOL |
| DOSAGE FORM |
KIT |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2020-01-15 00:00:00 |
| NATIONAL FORMULARY NAME |
CELECOXIB/LIDOCAINE/MENTHOL KIT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
LIDOXIB KIT 45 |
| VA PRODUCT IDENTIFIER |
L0694 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4035726 |
| EFFECTIVE DATE/TIME |
-
- 2016-05-20 00:00:00
- STATUS: ACTIVE
-
- 2020-01-15 00:00:00
- STATUS: INACTIVE
|
