AMYLASE 15,200UNIT/LIPASE 2,600UNIT/PROTEASE 8,800UNIT CAP,EC (31174) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 15,200UNIT/LIPASE 2,600UNIT/PROTEASE 8,800UNIT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
FDA MED GUIDE	Pancrelipase_(Pancreaze)_(2021).pdf
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 15200 UNITS: UNIT LIPASE STRENGTH: 2600 UNITS: UNIT PROTEASE STRENGTH: 8800 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: 2021-06-01 00:00:00
PGX ELIGIBLE	NO
PGX SUPPRESSED	NO
VA PRINT NAME	PANCREAZE 2,600UNIT EC CAP
VA PRODUCT IDENTIFIER	P1179
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4040530
EFFECTIVE DATE/TIME	2021-06-02 00:00:00 STATUS: ACTIVE 2021-06-02 00:00:00 STATUS: ACTIVE 2021-06-02 00:00:00 STATUS: ACTIVE