LIDOCAINE 2.5% OINT,TOP (3848)    VA PRODUCT (50.68)

Name Value
NAME LIDOCAINE 2.5% OINT,TOP
VA GENERIC NAME LIDOCAINE
DOSAGE FORM OINT,TOP
FORMULARY DESIGNATOR TEXT 
Sites can interchange different strengths of lidocaine cream or ointment
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 2.5
INACTIVATION DATE 2009-10-09 00:00:00
UNITS %
DSS NUMBER 33
NATIONAL FORMULARY NAME LIDOCAINE OINT,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 2.5% OINT
VA PRODUCT IDENTIFIER L0090
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID YES
VUID 4004404
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-20 00:00:00
    STATUS:   INACTIVE
  • 2007-10-10 00:00:00
    STATUS:   ACTIVE
  • 2009-10-09 00:00:00
    STATUS:   INACTIVE