AMYLASE 30250UNIT/LIPASE 8000UNIT/PROTEASE 28750UNIT CAP,EC (25830) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 30250UNIT/LIPASE 8000UNIT/PROTEASE 28750UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pertzye)_(2017).pdf
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 30250 UNITS: UNIT LIPASE STRENGTH: 8000 UNITS: UNIT PROTEASE STRENGTH: 28750 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
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	PERTZYE 8000UNIT EC CAP
VA PRODUCT IDENTIFIER	P1144
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4034587
EFFECTIVE DATE/TIME	2015-07-10 00:00:00 STATUS: ACTIVE