TRIMETHOBENZAMIDE HCL 200MG/BENZOCAINE 2% SUPP,RTL (4111) VA PRODUCT (50.68)

Name	Value
NAME	TRIMETHOBENZAMIDE HCL 200MG/BENZOCAINE 2% SUPP,RTL
VA GENERIC NAME	TRIMETHOBENZAMIDE
DOSAGE FORM	SUPP,RTL
ACTIVE INGREDIENTS	TRIMETHOBENZAMIDE HYDROCHLORIDE STRENGTH: 200 UNITS: MG BENZOCAINE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	200
INACTIVATION DATE	2009-06-12 00:00:00
UNITS	MG
DSS NUMBER	3
NATIONAL FORMULARY NAME	TRIMETHOBENZAMIDE SUPP,RTL
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	4004663
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-06-12 00:00:00 STATUS: INACTIVE