LIDOCAINE HCL 4MG/ML/DEXTROSE 5% INJ (5420) VA PRODUCT (50.68)

Name	Value
NAME	LIDOCAINE HCL 4MG/ML/DEXTROSE 5% INJ
VA GENERIC NAME	DEXTROSE/LIDOCAINE
DOSAGE FORM	INJ,SOLN
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 5 UNITS: % LIDOCAINE HYDROCHLORIDE STRENGTH: 4 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	4
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	MG/ML
DSS NUMBER	2
NATIONAL FORMULARY NAME	DEXTROSE/LIDOCAINE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	YES
VUID	4005950
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE