AMYLASE 24000UNT/LIPASE 12000UNT/PROTEASE 24000UNT CAP,EC (4192)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 24000UNT/LIPASE 12000UNT/PROTEASE 24000UNT CAP,EC
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM CAP,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-03 00:00:00
DSS NUMBER 20
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 ZYMASE EC CAP
VA PRODUCT IDENTIFIER Z0019
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4004744
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE