CITRIC ACID 1.5GM/SIMETHICONE/NA BICARB 2GM/PKT PWDR (6635) VA PRODUCT (50.68)

Name	Value
NAME	CITRIC ACID 1.5GM/SIMETHICONE/NA BICARB 2GM/PKT PWDR
VA GENERIC NAME	CITRIC ACID/SIMETHICONE/SODIUM BICARBONATE
DOSAGE FORM	GRANULES
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	SIMETHICONE CITRIC ACID STRENGTH: 1.5 UNITS: GM/PKT SODIUM BICARBONATE STRENGTH: 2 UNITS: GM/PKT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2021-08-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	CITRIC ACID/SIMETHICONE/SODIUM BICARBONATE GRANULES
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 0 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	SPARKLES GRANULES PWDR PKT
VA PRODUCT IDENTIFIER	S0928
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	PKT
MASTER ENTRY FOR VUID	YES
VUID	4007151
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2021-08-04 00:00:00 STATUS: INACTIVE 2021-08-04 00:00:00 STATUS: INACTIVE