ACCU-BLOC SPINOCAN CUSTOM SPINAL TRAY SSK (7738) VA PRODUCT (50.68)

Name	Value
NAME	ACCU-BLOC SPINOCAN CUSTOM SPINAL TRAY SSK
VA GENERIC NAME	DEXTROSE/LIDOCAINE/TETRACAINE
DOSAGE FORM	INJ
ACTIVE INGREDIENTS	DEXTROSE STRENGTH: 10 UNITS: % LIDOCAINE HYDROCHLORIDE STRENGTH: 1 UNITS: % TETRACAINE HYDROCHLORIDE STRENGTH: 1 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	1999-01-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	DEXTROSE/LIDOCAINE/TETRACAINE INJ
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	4008222
EFFECTIVE DATE/TIME	1999-01-14 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE