AMYLASE 70000UNT/LIPASE 16800UNT/PROTEASE 70000UNT/0.7GM PWDR (4174) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 70000UNT/LIPASE 16800UNT/PROTEASE 70000UNT/0.7GM PWDR
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	POWDER,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 70000 UNITS: UNIT/0.7GM LIPASE STRENGTH: 16800 UNITS: UNIT/0.7GM PROTEASE STRENGTH: 70000 UNITS: UNIT/0.7GM
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-01-04 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	AMYLASE/LIPASE/PROTEASE POWDER,ORAL
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	VIOKASE PWDR
VA PRODUCT IDENTIFIER	V0031
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	GM
MASTER ENTRY FOR VUID	YES
VUID	4004726
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-01-04 00:00:00 STATUS: INACTIVE