AMYLASE 8125UNT/LIPASE 650UNT/PROTEASE 8125UNT TAB (4185)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 8125UNT/LIPASE 650UNT/PROTEASE 8125UNT TAB
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM TAB
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 325
INACTIVATION DATE 2008-09-03 00:00:00
UNITS MG
DSS NUMBER 13
NATIONAL FORMULARY NAME AMYLASE/LIPASE/PROTEASE 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 PANCREATIN SINGLE STRENGTH TAB
VA PRODUCT IDENTIFIER P0206
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4004737
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE