ACCU-BLOC PERIFIX (3719)    VA PRODUCT (50.68)

Name Value
NAME ACCU-BLOC PERIFIX
VA GENERIC NAME LIDOCAINE/SODIUM CHLORIDE
DOSAGE FORM KIT
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 1999-01-14 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME LIDOCAINE/SODIUM CHLORIDE KIT
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID NO
VUID 4004278
EFFECTIVE DATE/TIME
  • 1999-01-14 00:00:00
    STATUS:   INACTIVE
  • 2005-12-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE