AL OH 500MG/MG OH 400MG/SIMETHICONE 40MG/5ML LIQUID (8395) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 500MG/MG OH 400MG/SIMETHICONE 40MG/5ML LIQUID
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 500 UNITS: MG/5ML SIMETHICONE STRENGTH: 40 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 400 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	7
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE LIQUID
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 XTRA STRENGTH LIQ
VA PRODUCT IDENTIFIER	A0094
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	150ML
MASTER ENTRY FOR VUID	YES
VUID	4008863
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE