AMYLASE 65000UNT/LIPASE 20000UNT/PROTEASE 65000UNT CAP (4189) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 65000UNT/LIPASE 20000UNT/PROTEASE 65000UNT CAP
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 65000 UNITS: UNIT LIPASE STRENGTH: 20000 UNITS: UNIT PROTEASE STRENGTH: 65000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
SINGLE/MULTI SOURCE PRODUCT	Multisource
INACTIVATION DATE	2017-12-29 00:00:00
DSS NUMBER	17
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	ULTRASE MT 20 CAP
VA PRODUCT IDENTIFIER	U0012
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004741
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2017-12-29 00:00:00 STATUS: INACTIVE