ALGINIC AC 200MG/CA CARB 80MG/MG TRISIL 20MG/NA BICARB 70MG TAB (9495) VA PRODUCT (50.68)

Name	Value
NAME	ALGINIC AC 200MG/CA CARB 80MG/MG TRISIL 20MG/NA BICARB 70MG TAB
VA GENERIC NAME	ALGINIC ACID/CALCIUM CARBONATE/MAGNESIUM TRISILICATE/SODIUM BICA
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	ALGINIC ACID STRENGTH: 200 UNITS: MG MAGNESIUM TRISILICATE STRENGTH: 20 UNITS: MG CALCIUM CARBONATE STRENGTH: 80 UNITS: MG SODIUM BICARBONATE STRENGTH: 70 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALGINIC ACID/CALCIUM CARBONATE/MAGNESIUM TRISILICATE/SODIUM BICA TAB
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	ALGINIC AC/CA CARB/MG TRI/NA BICARB TAB
VA PRODUCT IDENTIFIER	A0501
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4009917
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE