| NAME |
AMYLASE 60500UNIT/LIPASE 16000UNIT/PROTEASE 57500UNIT CAP,EC |
| VA GENERIC NAME |
AMYLASE/LIPASE/PROTEASE |
| DOSAGE FORM |
CAP,EC |
| FDA MED GUIDE |
Pancrelipase_(Pertzye)_(2017).pdf |
| ACTIVE INGREDIENTS |
|
| 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 |
|
| 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 16000UNIT EC CAP |
| VA PRODUCT IDENTIFIER |
P1145 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CAP |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4034588 |
| EFFECTIVE DATE/TIME |
-
- 2015-07-10 00:00:00
- STATUS: ACTIVE
|