LIDOCAINE HCL 300MG/INJECTOR (3840)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE HCL 300MG/INJECTOR
VA GENERIC NAME LIDOCAINE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 300
INACTIVATION DATE 2007-09-20 00:00:00
UNITS MG/INJ
DSS NUMBER 25
NATIONAL FORMULARY NAME LIDOCAINE INJ,SOLN
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4004397
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE