AL OH 500MG/MG OH 450MG/SIMETHICONE 40MG/5ML SUSP,ORAL(780ML) (16439)    VA PRODUCT (50.68)

Name Value
NAME AL OH 500MG/MG OH 450MG/SIMETHICONE 40MG/5ML SUSP,ORAL(780ML)
VA GENERIC NAME ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE
DOSAGE FORM SUSP,ORAL
ACTIVE INGREDIENTS
  1. ACTIVE INGREDIENTS:   ALUMINUM HYDROXIDE
    STRENGTH:   500
    UNITS:   MG/5ML
  2. ACTIVE INGREDIENTS:   SIMETHICONE
    STRENGTH:   40
    UNITS:   MG/5ML
  3. ACTIVE INGREDIENTS:   MAGNESIUM HYDROXIDE
    STRENGTH:   450
    UNITS:   MG/5ML
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2009-09-17 00:00:00
NATIONAL FORMULARY NAME ALUMINUM HYDROXIDE/MAGNESIUM HYDROXIDE/SIMETHICONE SUSP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  1. CODING SYSTEM:   RxNorm
    CODE:
COPAY TIER
  1. COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME ALOH/MGOH/SIMTH XTRA STRENGTH SUSP
VA PRODUCT IDENTIFIER A1192
TRANSMIT TO CMOP YES
VA DISPENSE UNIT 780ML
MASTER ENTRY FOR VUID YES
VUID 4016802
EFFECTIVE DATE/TIME
  1. EFFECTIVE DATE/TIME:   2005-03-10 00:00:00
    STATUS:   ACTIVE
  2. EFFECTIVE DATE/TIME:   2009-09-17 00:00:00
    STATUS:   INACTIVE