AMYLASE 58500UNIT/LIPASE 18000UNIT/PROTEASE 58500UNIT CAP,EC (17603) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 58500UNIT/LIPASE 18000UNIT/PROTEASE 58500UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 58500 UNITS: UNIT LIPASE STRENGTH: 18000 UNITS: UNIT PROTEASE STRENGTH: 58500 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-09-26 00:00:00
NATIONAL FORMULARY NAME	AMYLASE/LIPASE/PROTEASE CAP,EC
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	ULTRASE MT18 CAP
VA PRODUCT IDENTIFIER	A1300
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4025135
EFFECTIVE DATE/TIME	2006-05-22 00:00:00 STATUS: ACTIVE