PANCRELIPASE 425MG TAB (3002)    VA PRODUCT (50.68)

Name Value
NAME PANCRELIPASE 425MG TAB
VA GENERIC NAME PANCRELIPASE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 425
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MG
DSS NUMBER 3
NATIONAL FORMULARY NAME PANCRELIPASE TAB
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 PANCRELIPASE 425MG TAB
VA PRODUCT IDENTIFIER P0208
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4003577
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE