AL OH 150MG/MG OH 80MG/MG TRISILICATE 400MG/5ML SUSP,ORAL (9606) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 150MG/MG OH 80MG/MG TRISILICATE 400MG/5ML SUSP,ORAL
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/MAGNESIUM TRISILICATE
DOSAGE FORM	SUSP,ORAL
ACTIVE INGREDIENTS	ALUMINUM HYDROXIDE STRENGTH: 150 UNITS: MG/5ML MAGNESIUM TRISILICATE STRENGTH: 400 UNITS: MG/5ML MAGNESIUM HYDROXIDE STRENGTH: 80 UNITS: MG/5ML
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/MAGNESIUM TRISILICATE 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 150/MGOH 80/MG TRISIL 400/5ML SUSP
VA PRODUCT IDENTIFIER	A0081
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4010021
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE