AMYLASE 48000UNT/LIPASE 16000UNT/PROTEASE 48000UNT CAP,EC (4201)    VA PRODUCT (50.68)

Name Value
NAME AMYLASE 48000UNT/LIPASE 16000UNT/PROTEASE 48000UNT CAP,EC
VA GENERIC NAME AMYLASE/LIPASE/PROTEASE
DOSAGE FORM CAP,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2011-03-02 00:00:00
DSS NUMBER 29
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 16 EC CAP
VA PRODUCT IDENTIFIER P0407
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4004753
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-03-02 00:00:00
    STATUS:   INACTIVE