CA CARB 32MG/MG CARB 138MG/NA ALGINATE 137MG/5ML LIQUID (9494) VA PRODUCT (50.68)

Name	Value
NAME	CA CARB 32MG/MG CARB 138MG/NA ALGINATE 137MG/5ML LIQUID
VA GENERIC NAME	CALCIUM CARBONATE/MAGNESIUM CARBONATE/SODIUM ALGINATE
DOSAGE FORM	LIQUID
ACTIVE INGREDIENTS	SODIUM ALGINATE STRENGTH: 27.2 UNITS: MG/ML MAGNESIUM CARBONATE STRENGTH: 27.5 UNITS: MG/ML CALCIUM CARBONATE STRENGTH: 6.3 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2001-03-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	CALCIUM CARBONATE/MAGNESIUM CARBONATE/SODIUM ALGINATE 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	CA CARB/MG CARB/NA ALGINAT 137MG/5ML LIQ
VA PRODUCT IDENTIFIER	B0236
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009916
EFFECTIVE DATE/TIME	2001-03-02 00:00:00 STATUS: INACTIVE 2005-12-08 00:00:00 STATUS: INACTIVE