AMYLASE 60000UNIT/LIPASE 16000UNIT/PROTEASE 60000UNIT TAB (17263)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 60000UNIT/LIPASE 16000UNIT/PROTEASE 60000UNIT TAB
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2013-03-13 00:00:00
NATIONAL FORMULARY NAME AMYLASE/LIPASE/PROTEASE 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 VIOKASE 16 TAB
VA PRODUCT IDENTIFIER A1259
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4024695
EFFECTIVE DATE/TIME
  • 2006-01-24 00:00:00
    STATUS:   ACTIVE