BENZOCAINE 5%/ICHTHAMMOL 2% OINT,TOP (9041) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 5%/ICHTHAMMOL 2% OINT,TOP
VA GENERIC NAME	BENZOCAINE/ICHTHAMMOL
DOSAGE FORM	OINT,TOP
ACTIVE INGREDIENTS	ICHTHAMMOL STRENGTH: 2 UNITS: % BENZOCAINE STRENGTH: 5 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOCAINE/ICHTHAMMOL 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	BENZOCAINE 5/ICHTHAMMOL 2% OINT
VA PRODUCT IDENTIFIER	B0107
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4009483
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE