BENZETHONIUM CL 0.5%/BENZOCAINE 13.6% SPRAY (6240)    VA PRODUCT (50.68)

Name Value
NAME BENZETHONIUM CL 0.5%/BENZOCAINE 13.6% SPRAY
VA GENERIC NAME BENZETHONIUM CHLORIDE/BENZOCAINE
DOSAGE FORM AEROSOL,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-30 00:00:00
DSS NUMBER 4
NATIONAL FORMULARY NAME BENZETHONIUM CHLORIDE/BENZOCAINE AEROSOL,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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4006760
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-30 00:00:00
    STATUS:   INACTIVE