BENZETHONIUM CL 0.1%/BENZOCAINE 20% GEL,TOP (6238) VA PRODUCT (50.68)

Name	Value
NAME	BENZETHONIUM CL 0.1%/BENZOCAINE 20% GEL,TOP
VA GENERIC NAME	BENZETHONIUM CHLORIDE/BENZOCAINE
DOSAGE FORM	GEL,TOP
ACTIVE INGREDIENTS	BENZETHONIUM CHLORIDE STRENGTH: 0.1 UNITS: % BENZOCAINE STRENGTH: 20 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	2
NATIONAL FORMULARY NAME	BENZETHONIUM CHLORIDE/BENZOCAINE GEL,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 0.1/BENZOCAINE 20% TOP GEL
VA PRODUCT IDENTIFIER	B0026
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4006759
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE