TETRACAINE HCL 2% SOLN,TOP (3777)    VA PRODUCT (50.68)

Name Value
NAME TETRACAINE HCL 2% SOLN,TOP
VA GENERIC NAME TETRACAINE
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2022-08-15 00:00:00
UNITS %
DSS NUMBER 4
NATIONAL FORMULARY NAME TETRACAINE SOLN,TOP
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2022-04-27 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2022-04-28 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TETRACAINE HCL 2% TOP SOLN
VA PRODUCT IDENTIFIER T0684
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4004335
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-27 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2022-08-15 00:00:00
    STATUS:   INACTIVE