AMYLASE 83,900UNIT/LIPASE 21,000UNIT/PROTEASE 57,400UNIT CAP,EC (27243) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 83,900UNIT/LIPASE 21,000UNIT/PROTEASE 57,400UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pancreaze)_(2021).pdf
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 83900 UNITS: UNIT LIPASE STRENGTH: 21000 UNITS: UNIT PROTEASE STRENGTH: 57400 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Single source
INACTIVATION DATE	2019-03-27 00:00:00
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 21,000UNIT EC CAP
VA PRODUCT IDENTIFIER	A1542
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4036133
EFFECTIVE DATE/TIME	2016-10-21 00:00:00 STATUS: ACTIVE 2019-03-27 00:00:00 STATUS: INACTIVE