AMYLASE 60500UNIT/LIPASE 16000UNIT/PROTEASE 57500UNIT CAP,EC (25831)    VA PRODUCT (50.68)

Name Value
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
  • 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 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