AL OH 200MG/MG OH 200MG/SIMETHICONE 20MG TAB,CHEWABLE (8391) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 200MG/MG OH 200MG/SIMETHICONE 20MG TAB,CHEWABLE
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 200 UNITS: MG SIMETHICONE STRENGTH: 20 UNITS: MG MAGNESIUM HYDROXIDE STRENGTH: 200 UNITS: MG SORBITOL
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-03-12 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE 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	ALOH/MGOH/SIMTH REG STRENGTH CHEW TAB
VA PRODUCT IDENTIFIER	A0082
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4008859
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-03-12 00:00:00 STATUS: INACTIVE