MAGALDRATE 540MG/SIMETHICONE 40MG/5ML SUSP,ORAL (8900)    VA PRODUCT (50.68)

Name Value
NAME MAGALDRATE 540MG/SIMETHICONE 40MG/5ML SUSP,ORAL
VA GENERIC NAME MAGALDRATE/SIMETHICONE
DOSAGE FORM SUSP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Multisource
INACTIVATION DATE 2021-07-15 00:00:00
DSS NUMBER 6
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 540/SIMETHICONE 40MG/5ML SUSP
VA PRODUCT IDENTIFIER M0270
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4009352
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE
  • 2021-07-15 00:00:00
    STATUS:   INACTIVE