AL OH 254MG/MG CARB 238MG/NA ALGINATE 100MG/5ML SUSP,ORAL (8127) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 254MG/MG CARB 238MG/NA ALGINATE 100MG/5ML SUSP,ORAL
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE/SODIUM ALGINATE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 254 UNITS: MG/5ML SODIUM ALGINATE STRENGTH: 100 UNITS: MG/5ML MAGNESIUM CARBONATE STRENGTH: 238 UNITS: MG/5ML SORBITOL SODIUM STRENGTH: 0.9 UNITS: MEQ/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-09-21 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE/SODIUM ALGINATE 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/MG CARB/NA ALGINATE 100MG/5ML SUSP
VA PRODUCT IDENTIFIER	A0503
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	360ML
MASTER ENTRY FOR VUID	YES
VUID	4008602
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-09-21 00:00:00 STATUS: INACTIVE