BENZALKONIUM CL/BENZOCAINE/DIBUCAINE/TETRACAINE CREAM,TOP (8414)    VA PRODUCT (50.68)

Name Value
NAME BENZALKONIUM CL/BENZOCAINE/DIBUCAINE/TETRACAINE CREAM,TOP
VA GENERIC NAME BENZALKONIUM CHLORIDE/BENZOCAINE/DIBUCAINE/TETRACAINE
DOSAGE FORM CREAM,TOP
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-30 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME BENZALKONIUM CHLORIDE/BENZOCAINE/DIBUCAINE/TETRACAINE CREAM,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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4008882
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-30 00:00:00
    STATUS:   INACTIVE