AMYLASE 19MG/LIPASE 27.5MG/PROTEASE 5MG TAB,CHEW (4194)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 19MG/LIPASE 27.5MG/PROTEASE 5MG TAB,CHEW
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM TAB,CHEWABLE
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-11-02 00:00:00
DSS NUMBER 22
NATIONAL FORMULARY NAME AMYLASE/LIPASE/PROTEASE TAB,CHEWABLE
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 AMYLASE19/LIPASE27.5/PROTEASE5MG CHEW TB
VA PRODUCT IDENTIFIER A1533
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4004746
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-11-02 00:00:00
    STATUS:   INACTIVE