BENZOCAINE 20%/TRICLOSAN 0.13% SPRAY,TOP (31370)    VA PRODUCT (50.68)

Name Value
NAME BENZOCAINE 20%/TRICLOSAN 0.13% SPRAY,TOP
VA GENERIC NAME BENZOCAINE/TRICLOSAN
DOSAGE FORM SPRAY,TOP
HAZARDOUS TO DISPOSE NO
PRIMARY EPA CODE D001-IGNITABLE
WASTE SORT CODE Aerosol
ACTIVE INGREDIENTS
NATIONAL FORMULARY NAME BENZOCAINE/TRICLOSAN SPRAY,TOP
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-08-16 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BENZOCAINE 20%/TRICLOSAN 0.13% TOP SPRAY
VA PRODUCT IDENTIFIER B0922
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4040751
EFFECTIVE DATE/TIME
  • 2021-08-17 00:00:00
    STATUS:   ACTIVE
  • 2021-08-17 00:00:00
    STATUS:   ACTIVE