AMYLASE 20000UNT/LIPASE 4000UNT/PROTEASE 25000UNT CAP,EC (4175)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 20000UNT/LIPASE 4000UNT/PROTEASE 25000UNT CAP,EC
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM CAP,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2004-03-23 00:00:00
DSS NUMBER 3
NATIONAL FORMULARY NAME AMYLASE/LIPASE/PROTEASE CAP,EC
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 PANCREASE EC CAP
VA PRODUCT IDENTIFIER A0487
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4004727
EFFECTIVE DATE/TIME
  • 2004-03-23 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE