AMYLASE 78300UNT/LIPASE 20880UNT/PROTEASE 78300UNT TAB (23250)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 78300UNT/LIPASE 20880UNT/PROTEASE 78300UNT TAB
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM TAB
FDA MED GUIDE Pancrelipase_(Viokace)_(2012).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
SINGLE/MULTI SOURCE PRODUCT Single source
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 VIOKACE 20 TAB
VA PRODUCT IDENTIFIER A1664
TRANSMIT TO CMOP NO
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4031684
EFFECTIVE DATE/TIME
  • 2012-10-05 00:00:00
    STATUS:   ACTIVE