LIDOCAINE 10% AEROSOL,ORAL (3834)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 10% AEROSOL,ORAL
VA GENERIC NAME LIDOCAINE
DOSAGE FORM AEROSOL,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 10
INACTIVATION DATE 2004-10-06 00:00:00
UNITS %
DSS NUMBER 19
NATIONAL FORMULARY NAME LIDOCAINE AEROSOL,ORAL
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 10% ORAL AEROSOL
VA PRODUCT IDENTIFIER L0089
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4004391
EFFECTIVE DATE/TIME
  • 2004-10-06 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE