ALGINIC ACID/AL OH/MAG TRISIL/NA BICARB TAB,CHEW (22724) VA PRODUCT (50.68)

Name	Value
NAME	ALGINIC ACID/AL OH/MAG TRISIL/NA BICARB TAB,CHEW
VA GENERIC NAME	ALGINIC ACID/ALUMINUM HYDROXIDE/MAGNESIUM TRISILICATE/SODIUM BIC
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 80 UNITS: MG ALGINIC ACID STRENGTH: 200 UNITS: MG MAGNESIUM TRISILICATE STRENGTH: 14.2 UNITS: MG SODIUM BICARBONATE STRENGTH: 70 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
NATIONAL FORMULARY NAME	ALGINIC ACID/ALUMINUM HYDROXIDE/MAGNESIUM TRISILICATE/SODIUM BIC TAB,CHEWABLE
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	ALGINIC/ALOH/MAG TRI/NA BICARB CHEW TAB
VA PRODUCT IDENTIFIER	A1638
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4031073
EFFECTIVE DATE/TIME	2011-11-04 00:00:00 STATUS: ACTIVE