ALUMINUM HYDROXIDE 160MG/MAGNESIUM CARBONATE 105MG TAB,CHEWABLE (9073) VA PRODUCT (50.68)

Name	Value
NAME	ALUMINUM HYDROXIDE 160MG/MAGNESIUM CARBONATE 105MG TAB,CHEWABLE
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 160 UNITS: MG SUCROSE CALCIUM STEARATE MAGNESIUM CARBONATE STRENGTH: 105 UNITS: MG FLAVOR STEARIC ACID MANNITOL
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM CARBONATE TAB,CHEWABLE
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 160/MG CARB 105MG CHEW TAB
VA PRODUCT IDENTIFIER	A0158
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4009515
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE