AMYLASE 17,500UNIT/LIPASE 4,200UNIT/PROTEASE 10,000UNIT CAP,EC (21617) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 17,500UNIT/LIPASE 4,200UNIT/PROTEASE 10,000UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pancreaze)_(2021).pdf
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 17500 UNITS: UNIT LIPASE STRENGTH: 4200 UNITS: UNIT PROTEASE STRENGTH: 10000 UNT UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2016-10-21 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	PANCREAZE 4,200UNIT EC CAP
VA PRODUCT IDENTIFIER	A1544
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4029786
EFFECTIVE DATE/TIME	2010-05-12 00:00:00 STATUS: ACTIVE