CITRIC ACID 2.3GM/SIMETHICONE 0.3GM/NA BICARB 3.1GM/PKT GRANULES (6634) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 2.3GM/SIMETHICONE 0.3GM/NA BICARB 3.1GM/PKT GRANULES
VA GENERIC NAME	CITRIC ACID/SIMETHICONE/SODIUM BICARBONATE
DOSAGE FORM	GRANULES
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SIMETHICONE STRENGTH: 0.3 UNITS: GM CITRIC ACID STRENGTH: 2.3 UNITS: GM SODIUM BICARBONATE STRENGTH: 3.1 UNITS: GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CITRIC ACID/SIMETHICONE/SODIUM BICARBONATE GRANULES
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	4007150
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE