AMYLASE 30000UNT/LIPASE 10000UNT/PROTEASE 30000UNT CAP,EC (4199) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 30000UNT/LIPASE 10000UNT/PROTEASE 30000UNT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 30000 UNITS: UNIT LIPASE STRENGTH: 10000 UNITS: UNIT PROTEASE STRENGTH: 30000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-07-05 00:00:00
DSS NUMBER	27
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 10 EC CAP
VA PRODUCT IDENTIFIER	P0387
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004751
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-07-05 00:00:00 STATUS: INACTIVE