ALUMINUM HYDROXIDE 32MG/MAGNESIUM CARBONATE 137MG/5ML SUSP,ORAL (9072)    VA PRODUCT (50.68)

Name Value
NAME ALUMINUM HYDROXIDE 32MG/MAGNESIUM CARBONATE 137MG/5ML SUSP,ORAL
VA GENERIC NAME ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE
DOSAGE FORM SUSP,ORAL
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2010-09-21 00:00:00
DSS NUMBER 1
NATIONAL FORMULARY NAME ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE 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 ALOH 32/MG CARB 137MG/5ML SUSP
VA PRODUCT IDENTIFIER A0168
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 150ML
MASTER ENTRY FOR VUID YES
VUID 4009514
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2010-09-21 00:00:00
    STATUS:   INACTIVE