AMYLASE 12000UNT/LIPASE 4000UNT/PROTEASE 12000UNT CAP,EC (4200) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 12000UNT/LIPASE 4000UNT/PROTEASE 12000UNT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 12000 UNITS: UNIT LIPASE STRENGTH: 4000 UNITS: UNIT PROTEASE STRENGTH: 12000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-07-05 00:00:00
DSS NUMBER	28
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 4 EC CAP
VA PRODUCT IDENTIFIER	P0406
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004752
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-07-05 00:00:00 STATUS: INACTIVE