AMYLASE 90,750UNIT/LIPASE 24,000UNIT/PROTEASE 86,250UNIT CAP,EC (28659) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 90,750UNIT/LIPASE 24,000UNIT/PROTEASE 86,250UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pertzye)_(2017).pdf
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 90750 UNITS: UNIT LIPASE STRENGTH: 24000 UNITS: UNIT PROTEASE STRENGTH: 86250 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: 2018-07-26 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PERTZYE 24,000UNIT EC CAP
VA PRODUCT IDENTIFIER	P1219
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4037695
EFFECTIVE DATE/TIME	2018-07-26 00:00:00 STATUS: ACTIVE