MAGALDRATE 1080MG/SIMETHICONE 30MG/5ML SUSP,ORAL (8897) VA PRODUCT (50.68)

Name	Value
NAME	MAGALDRATE 1080MG/SIMETHICONE 30MG/5ML SUSP,ORAL
VA GENERIC NAME	MAGALDRATE/SIMETHICONE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	SIMETHICONE STRENGTH: 30 UNITS: MG/5ML MAGALDRATE STRENGTH: 1080 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2002-10-21 00:00:00
DSS NUMBER	3
NATIONAL FORMULARY NAME	MAGALDRATE/SIMETHICONE SUSP,ORAL
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	MAGALDRATE 1.08GM/SIMTH 30MG/5ML SUSP
VA PRODUCT IDENTIFIER	M0003
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009349
EFFECTIVE DATE/TIME	2002-10-21 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE