TETRACAINE HCL 0.5% OINT,OPH (3778)    VA PRODUCT (50.68)

Name Value
NAME TETRACAINE HCL 0.5% OINT,OPH
VA GENERIC NAME TETRACAINE
DOSAGE FORM OINT,OPH
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 0.5
INACTIVATION DATE 2007-10-01 00:00:00
UNITS %
DSS NUMBER 5
NATIONAL FORMULARY NAME TETRACAINE OINT,OPH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME TETRACAINE HCL 0.5% OPH OINT
VA PRODUCT IDENTIFIER T0246
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TUBE
MASTER ENTRY FOR VUID YES
VUID 4004336
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-10-01 00:00:00
    STATUS:   INACTIVE