BENZOCAINE 7.5% GEL,DENTAL (7320) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 7.5% GEL,DENTAL
VA GENERIC NAME	BENZOCAINE
DOSAGE FORM	GEL,DENT
ACTIVE INGREDIENTS	SACCHARIN SODIUM SORBIC ACID F D & C RED #40 GLYCERIN SORBITOL POLYETHYLENE GLYCOL BENZOCAINE STRENGTH: 7.5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	7.5
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	%
DSS NUMBER	9
NATIONAL FORMULARY NAME	BENZOCAINE GEL,DENT
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	BENZOCAINE 7.5% DENTAL GEL
VA PRODUCT IDENTIFIER	B0109
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4007827
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE