LIDOCAINE 4% SPRAY,TOP (30447)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 4% SPRAY,TOP
VA GENERIC NAME LIDOCAINE
DOSAGE FORM SPRAY,TOP
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
STRENGTH 4
UNITS %
NATIONAL FORMULARY NAME LIDOCAINE SPRAY,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2020-10-08 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME LIDOCAINE 4% TOP SPRAY
VA PRODUCT IDENTIFIER L0856
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4039746
EFFECTIVE DATE/TIME
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE
  • 2020-10-08 00:00:00
    STATUS:   ACTIVE