FERROUS SO4 200MG/ALUMINUM-MAGNESIUM HYDROXIDE 200MG TAB (8088)    VA PRODUCT (50.68)

Name Value
NAME FERROUS SO4 200MG/ALUMINUM-MAGNESIUM HYDROXIDE 200MG TAB
VA GENERIC NAME ALUMINUM HYDROXIDE/FERROUS SULFATE/MAGNESIUM HYDROXIDE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-19 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALUMINUM HYDROXIDE/FERROUS SULFATE/MAGNESIUM HYDROXIDE TAB
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 FERROUS SULF 200/ALOH MGOH 200MG TAB
VA PRODUCT IDENTIFIER F0089
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4008563
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-19 00:00:00
    STATUS:   INACTIVE