AMYLASE 70000UNT/LIPASE 25000UNT/PROTEASE 55000UNT CAP,EC (4197)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 70000UNT/LIPASE 25000UNT/PROTEASE 55000UNT 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 25
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 PANCREASE MT 25 EC CAP
VA PRODUCT IDENTIFIER P0382
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4004749
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE