AMYLASE 97500UNT/LIPASE 30000UNT/PROTEASE 97500UNT CAP (4191) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 97500UNT/LIPASE 30000UNT/PROTEASE 97500UNT CAP
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 97500 UNITS: UNIT LIPASE STRENGTH: 30000 UNITS: UNIT PROTEASE STRENGTH: 97500 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	19
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 30 CAP
VA PRODUCT IDENTIFIER	U0014
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004743
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE