ALUMINUM HYDROXIDE 565MG/MAGNESIUM HYDROXIDE 180MG/5ML SUSP,ORAL (7901) VA PRODUCT (50.68)

Name	Value
NAME	ALUMINUM HYDROXIDE 565MG/MAGNESIUM HYDROXIDE 180MG/5ML SUSP,ORAL
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 565 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 180 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-21 00:00:00
DSS NUMBER	5
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE SUSP,ORAL
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 565/MGOH 180MG/5ML SUSP
VA PRODUCT IDENTIFIER	A0174
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	150ML
MASTER ENTRY FOR VUID	YES
VUID	4008378
EFFECTIVE DATE/TIME	2002-10-21 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE