| NAME |
THROAT SPRAY W/BENZOCAINE,CETYLPYRIDINIUM,MENTHOL |
| VA GENERIC NAME |
THROAT |
| DOSAGE FORM |
SPRAY,ORAL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| NATIONAL FORMULARY NAME |
THROAT SPRAY,ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-05-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
THROAT SPRAY W/BENZOCAINE,CETY,MENTHOL |
| VA PRODUCT IDENTIFIER |
T0954 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4036498 |
| EFFECTIVE DATE/TIME |
-
- 2017-03-22 00:00:00
- STATUS: ACTIVE
|
