AMYLASE 30000UNT/LIPASE 8000UNT/PROTEASE 30000UNT CAP (4176) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 30000UNT/LIPASE 8000UNT/PROTEASE 30000UNT CAP
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 30000 UNITS: UNIT LIPASE STRENGTH: 8000 UNITS: UNIT PROTEASE STRENGTH: 30000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-02-04 00:00:00
DSS NUMBER	4
NATIONAL FORMULARY NAME	AMYLASE/LIPASE/PROTEASE CAP,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	COTAZYM CAP
VA PRODUCT IDENTIFIER	A0483
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004728
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-02-04 00:00:00 STATUS: INACTIVE