ALGINIC ACID 400MG/AL OH 160MG/MG TRISIL 40MG/NA BICARB TAB,CHEW (8130) VA PRODUCT (50.68)

Name	Value
NAME	ALGINIC ACID 400MG/AL OH 160MG/MG TRISIL 40MG/NA BICARB TAB,CHEW
VA GENERIC NAME	ALGINIC ACID/ALUMINUM HYDROXIDE/MAGNESIUM TRISILICATE/SODIUM BIC
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 160 UNITS: MG ALGINIC ACID STRENGTH: 400 UNITS: MG MAGNESIUM TRISILICATE STRENGTH: 40 UNITS: MG SODIUM BICARBONATE STRENGTH: 140 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	2
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 160/MG TRI 40/NA BICAR CHW
VA PRODUCT IDENTIFIER	A0569
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4008604
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE