AMYLASE 61,500UNIT/LIPASE 10,500UNIT/PROTEASE 35,500UNIT CAP,EC (27242)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 61,500UNIT/LIPASE 10,500UNIT/PROTEASE 35,500UNIT CAP,EC
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM CAP,EC
FDA MED GUIDE Pancrelipase_(Pancreaze)_(2021).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:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PANCREAZE 10,500UNIT EC CAP
VA PRODUCT IDENTIFIER A1543
TRANSMIT TO CMOP NO
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4036132
EFFECTIVE DATE/TIME
  • 2016-10-21 00:00:00
    STATUS:   ACTIVE