BENZOCAINE 14%/BUTAMBEN 2%/TETRACAINE 2% AEROSOL,TOP (7339) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 14%/BUTAMBEN 2%/TETRACAINE 2% AEROSOL,TOP
VA GENERIC NAME	BENZOCAINE/BUTAMBEN/TETRACAINE
DOSAGE FORM	AEROSOL,TOP
ACTIVE INGREDIENTS	BUTAMBEN PICRATE STRENGTH: 2 UNITS: % BENZOCAINE STRENGTH: 14 UNITS: % TETRACAINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOCAINE/BUTAMBEN/TETRACAINE AEROSOL,TOP
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	CETACAINE TOP AEROSOL
VA PRODUCT IDENTIFIER	B0032
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4007844
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE