AMYLASE 15,125UNIT/LIPASE 4,000UNIT/PROTEASE 14,375UNIT CAP,EC (27307) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 15,125UNIT/LIPASE 4,000UNIT/PROTEASE 14,375UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pertzye)_(2017).pdf
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 15125 UNITS: UNIT LIPASE STRENGTH: 4000 UNITS: UNIT PROTEASE STRENGTH: 14375 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: 3 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PERTZYE 4,000UNIT EC CAP
VA PRODUCT IDENTIFIER	P1180
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4036205
EFFECTIVE DATE/TIME	2016-11-25 00:00:00 STATUS: ACTIVE