ALUMINUM HYDROXIDE 85MG/MAGNESIUM CARBONATE 79MG/5ML SUSP,ORAL (21977) VA PRODUCT (50.68)

Name	Value
NAME	ALUMINUM HYDROXIDE 85MG/MAGNESIUM CARBONATE 79MG/5ML SUSP,ORAL
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 85 UNITS: MG/5ML MAGNESIUM CARBONATE STRENGTH: 79 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE SUSP,ORAL
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	ALOH/MGCO3 EXTRA STRENGTH SUSP
VA PRODUCT IDENTIFIER	A1574
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4030190
EFFECTIVE DATE/TIME	2010-10-13 00:00:00 STATUS: ACTIVE