AL OH 225MG/MG OH 225MG/SIMETHICONE 25MG/5ML LIQUID (8401) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 225MG/MG OH 225MG/SIMETHICONE 25MG/5ML LIQUID
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 225 UNITS: MG/5ML SIMETHICONE STRENGTH: 25 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 225 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-03-12 00:00:00
DSS NUMBER	13
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 REG STRENGTH LIQ
VA PRODUCT IDENTIFIER	A0083
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	150ML
MASTER ENTRY FOR VUID	YES
VUID	4008869
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-03-12 00:00:00 STATUS: INACTIVE