BENZOCAINE 14%/BUTAMBEN 2%/TETRACAINE 2% OINT,TOP (7341) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 14%/BUTAMBEN 2%/TETRACAINE 2% OINT,TOP
VA GENERIC NAME	BENZOCAINE/BUTAMBEN/TETRACAINE
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	BUTAMBEN PICRATE STRENGTH: 2 UNITS: % BENZOCAINE STRENGTH: 14 UNITS: % TETRACAINE HYDROCHLORIDE STRENGTH: 2 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	BENZOCAINE/BUTAMBEN/TETRACAINE 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	CETACAINE OINT
VA PRODUCT IDENTIFIER	B0044
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4007846
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE