BENZETHONIUM CL 0.1%/BENZOCAINE 20% OINT,TOP (6237)    VA PRODUCT (50.68)

Name Value
NAME BENZETHONIUM CL 0.1%/BENZOCAINE 20% OINT,TOP
VA GENERIC NAME BENZETHONIUM CHLORIDE/BENZOCAINE
DOSAGE FORM OINT,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2004-11-18 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME BENZETHONIUM CHLORIDE/BENZOCAINE 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 BENZETHONIUM CL 0.1/BENZOCAINE 20% OINT
VA PRODUCT IDENTIFIER B0086
TRANSMIT TO CMOP YES
VA DISPENSE UNIT GM
MASTER ENTRY FOR VUID NO
VUID 4006758
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2005-12-08 00:00:00
    STATUS:   ACTIVE
  • 2007-09-18 00:00:00
    STATUS:   INACTIVE
  • 2004-11-18 00:00:00
    STATUS:   INACTIVE