ALUMINUM HYDROXIDE 307MG/MAGNESIUM HYDROXIDE 103MG/5ML SUSP (7897) VA PRODUCT (50.68)

Name	Value
NAME	ALUMINUM HYDROXIDE 307MG/MAGNESIUM HYDROXIDE 103MG/5ML SUSP
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 307 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 103 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE SUSP
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 307/MGOH 103MG/5ML SUSP
VA PRODUCT IDENTIFIER	A0166
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	150ML
MASTER ENTRY FOR VUID	YES
VUID	4008374
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE