LIDOCAINE 3% CREAM,TOP (3816)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 3% CREAM,TOP
VA GENERIC NAME LIDOCAINE
DOSAGE FORM CREAM,TOP
FORMULARY DESIGNATOR TEXT 
Sites can interchange different strengths of lidocaine cream or ointment
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 3
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS %
DSS NUMBER 1
NATIONAL FORMULARY NAME LIDOCAINE CREAM,TOP
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 LIDOCAINE 3% CREAM
VA PRODUCT IDENTIFIER L0092
TRANSMIT TO CMOP NO
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4004373
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE