| NAME |
BENZOCAINE 6.3%/PHENOL 0.5% SOLN,DENT |
| VA GENERIC NAME |
BENZOCAINE/PHENOL |
| DOSAGE FORM |
LIQUID,DENT |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| DSS NUMBER |
3 |
| NATIONAL FORMULARY NAME |
BENZOCAINE/PHENOL LIQUID,DENT |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 6.3/PHENOL 0.5% DENT SOLN |
| VA PRODUCT IDENTIFIER |
B0350 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4009685 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
