BENZOCAINE 6.3%/PHENOL 0.5%/POVIDONE IODINE 0.04% LIQUID,DENT (9838) VA PRODUCT (50.68)

Name	Value
NAME	BENZOCAINE 6.3%/PHENOL 0.5%/POVIDONE IODINE 0.04% LIQUID,DENT
VA GENERIC NAME	BENZOCAINE/PHENOL/POVIDONE IODINE
DOSAGE FORM	LIQUID,DENT
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	ALCOHOL STRENGTH: 70 UNITS: % PHENOL STRENGTH: 0.5 UNITS: % BENZOCAINE STRENGTH: 6.3 UNITS: % POVIDONE-IODINE STRENGTH: 0.04 UNITS: %
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-30 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BENZOCAINE/PHENOL/POVIDONE IODINE LIQUID,DENT
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	4010238
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-30 00:00:00 STATUS: INACTIVE