ENZYMATIC CLEANER (OPTI-FREE) TAB,OPH (10159)    VA PRODUCT (50.68)

Name Value
NAME ENZYMATIC CLEANER (OPTI-FREE) TAB,OPH
VA GENERIC NAME ENZYMATIC CLEANER
DOSAGE FORM TAB,SOLUBLE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
DSS NUMBER 2
NATIONAL FORMULARY NAME PANCREATIN TAB,SOLUBLE
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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4010537
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE