ACCU-BLOC SPINOCAN CUSTOM SPINAL TRAY SSK S15 (3847) VA PRODUCT (50.68)

Name	Value
NAME	ACCU-BLOC SPINOCAN CUSTOM SPINAL TRAY SSK S15
VA GENERIC NAME	DEXTROSE/EPINEPHRINE/TETRACAINE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 100 UNITS: % LIDOCAINE HYDROCHLORIDE STRENGTH: 1.5 UNITS: % EPINEPHRINE STRENGTH: 0.1 UNITS: % TETRACAINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	1.5
INACTIVATION DATE	1999-01-14 00:00:00
UNITS	%
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEXTROSE/EPINEPHRINE/TETRACAINE KIT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	NO
VUID	4004403
EFFECTIVE DATE/TIME	1999-01-14 00:00:00 STATUS: INACTIVE 2005-12-06 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE