BENZOCAINE 10MG/P-EPHRINE 5MG/P-PROPANOL 10.5MG LOZENGE (9833) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 10MG/P-EPHRINE 5MG/P-PROPANOL 10.5MG LOZENGE
VA GENERIC NAME	BENZOCAINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE
DOSAGE FORM	LOZENGE
ACTIVE INGREDIENTS	TARTRAZINE PHENYLEPHRINE HYDROCHLORIDE STRENGTH: 5 UNITS: MG PHENYLPROPANOLAMINE HYDROCHLORIDE STRENGTH: 10.5 UNITS: MG BENZOCAINE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2005-10-14 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOCAINE/PHENYLEPHRINE/PHENYLPROPANOLAMINE LOZENGE
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	4010234
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2005-10-14 00:00:00 STATUS: INACTIVE