LIDOCAINE HCL 4% SOLN,TOP (3818)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE HCL 4% SOLN,TOP
VA GENERIC NAME LIDOCAINE
DOSAGE FORM SOLN,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 4
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2004-11-18 00:00:00
UNITS %
DSS NUMBER 35
NATIONAL FORMULARY NAME LIDOCAINE SOLN,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 HCL 4% TOP SOLN
VA PRODUCT IDENTIFIER L0096
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID NO
VUID 4004375
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE