AL OH 225MG/CA CARB 250MG/MG OH 200MG/5ML SUSP (7977) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 225MG/CA CARB 250MG/MG OH 200MG/5ML SUSP
VA GENERIC NAME	ALUMINUM HYDROXIDE/CALCIUM CARBONATE/MAGNESIUM HYDROXIDE
DOSAGE FORM	SUSP
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 225 UNITS: MG/5ML CALCIUM CARBONATE STRENGTH: 250 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 200 UNITS: MG/5ML SORBITOL SACCHARIN
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/CALCIUM CARBONATE/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 225/CA CARB 250/MGOH 200MG/5ML LIQ
VA PRODUCT IDENTIFIER	A0641
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4008453
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE