CHLOROPROCAINE HCL 3% GEL,OPH (32634)    VA PRODUCT (50.68)

Name Value
NAME CHLOROPROCAINE HCL 3% GEL,OPH
VA GENERIC NAME CHLOROPROCAINE HYDROCHLORIDE
DOSAGE FORM GEL,OPH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
NATIONAL FORMULARY NAME CHLOROPROCAINE HYDROCHLORIDE GEL,OPH
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2023-04-13 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME CHLOROPROCAINE HCL 3% OPH GEL
VA PRODUCT IDENTIFIER C2061
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4042170
EFFECTIVE DATE/TIME
  • 2023-04-13 00:00:00
    STATUS:   ACTIVE