AL OH 260MG/MG OH 130MG/MG TRISILICATE 455MG TAB,CHEWABLE (9607) VA PRODUCT (50.68)

Name	Value
NAME	AL OH 260MG/MG OH 130MG/MG TRISILICATE 455MG TAB,CHEWABLE
VA GENERIC NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/MAGNESIUM TRISILICATE
DOSAGE FORM	TAB,CHEWABLE
ACTIVE INGREDIENTS	MAGNESIUM TRISILICATE STRENGTH: 455 UNITS: MG ALUMINUM HYDROXIDE GEL,DRIED STRENGTH: 260 UNITS: MG MAGNESIUM HYDROXIDE STRENGTH: 130 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-28 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/MAGNESIUM TRISILICATE 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 260/MGOH 130/MG TRIS 455MG CHEW TAB
VA PRODUCT IDENTIFIER	A0092
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4010022
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-28 00:00:00 STATUS: INACTIVE