| NAME |
ALUMINUM HYDROXIDE 450MG/5ML GEL |
| VA GENERIC NAME |
ALUMINUM HYDROXIDE |
| DOSAGE FORM |
GEL |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
450 |
| INACTIVATION DATE |
2004-08-25 00:00:00 |
| UNITS |
MG/5ML |
| DSS NUMBER |
7 |
| NATIONAL FORMULARY NAME |
ALUMINUM HYDROXIDE GEL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
ALUMINUM HYDROXIDE GEL 450MG/5ML SUSP |
| VA PRODUCT IDENTIFIER |
A0170 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
360ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4008315 |
| EFFECTIVE DATE/TIME |
-
- 2004-08-25 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
