LIDOCAINE 2.5%/3.88%/PRILOCAINE 2.5% CREAM,TOP (29342)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 2.5%/3.88%/PRILOCAINE 2.5% CREAM,TOP
VA GENERIC NAME LIDOCAINE/PRILOCAINE
DOSAGE FORM CREAM,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2022-09-15 00:00:00
NATIONAL FORMULARY NAME LIDOCAINE/PRILOCAINE CREAM,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2019-06-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PRIZOTRAL TOP CREAM
VA PRODUCT IDENTIFIER P1244
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4038494
EFFECTIVE DATE/TIME
  • 2019-06-27 00:00:00
    STATUS:   ACTIVE
  • 2019-06-27 00:00:00
    STATUS:   ACTIVE
  • 2022-09-15 00:00:00
    STATUS:   INACTIVE