ALGINIC ACID 200MG/AL OH 80MG/MG TRISIL 20MG/NA BICARB TAB,CHEW (8129) VA PRODUCT (50.68)

Name	Value
NAME	ALGINIC ACID 200MG/AL OH 80MG/MG TRISIL 20MG/NA BICARB TAB,CHEW
VA GENERIC NAME	ALGINIC ACID/ALUMINUM HYDROXIDE/MAGNESIUM TRISILICATE/SODIUM BIC
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 80 UNITS: MG ALGINIC ACID STRENGTH: 200 UNITS: MG MAGNESIUM TRISILICATE STRENGTH: 20 UNITS: MG SODIUM BICARBONATE STRENGTH: 70 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2014-06-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALGINIC ACID/ALUMINUM HYDROXIDE/MAGNESIUM TRISILICATE/SODIUM BIC TAB,CHEWABLE
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	ALGIN AC/ALOH 80/MG TRI 20/NA BICARB CHW
VA PRODUCT IDENTIFIER	A0568
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4008603
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE