ACCU-BLOC SPINOCAN SPINAL TRAY S25L-K (7736) VA PRODUCT (50.68)

Name	Value
NAME	ACCU-BLOC SPINOCAN SPINAL TRAY S25L-K
VA GENERIC NAME	DEXTROSE/EPINEPHRINE/LIDOCAINE
DOSAGE FORM	KIT
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 7.5 UNITS: % LIDOCAINE HYDROCHLORIDE STRENGTH: 5 UNITS: % EPINEPHRINE STRENGTH: 0.1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	1999-01-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEXTROSE/EPINEPHRINE/LIDOCAINE KIT
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 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	4008220
EFFECTIVE DATE/TIME	1999-01-14 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE