BENZOCAINE 1%/TANNIC ACID 4.5%/ETHANOL 60% AEROSOL,TOP (9645) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 1%/TANNIC ACID 4.5%/ETHANOL 60% AEROSOL,TOP
VA GENERIC NAME	BENZOCAINE/CHLOROBUTANOL/ETHANOL/MENTHOL/TANNIC ACID
DOSAGE FORM	AEROSOL,TOP
ACTIVE INGREDIENTS	TANNIC ACID STRENGTH: 4.5 UNITS: % MENTHOL STRENGTH: <1 UNITS: % ALCOHOL,ETHYL STRENGTH: 60 UNITS: % BENZOCAINE STRENGTH: <1 UNITS: % CHLOROBUTANOL STRENGTH: 13 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOCAINE/CHLOROBUTANOL/ETHANOL/MENTHOL/TANNIC ACID AEROSOL,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	4010058
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE