AMYLASE 12500UNT/LIPASE 1000UNT/PROTEASE 12500UNT TAB,EC (4202) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 12500UNT/LIPASE 1000UNT/PROTEASE 12500UNT TAB,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	TAB,EC
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 12500 UNITS: UNIT LIPASE STRENGTH: 1000 UNITS: UNIT PROTEASE STRENGTH: 12500 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-03 00:00:00
DSS NUMBER	30
NATIONAL FORMULARY NAME	AMYLASE/LIPASE/PROTEASE TAB,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	DONNAZYME EC TAB
VA PRODUCT IDENTIFIER	D0301
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4004754
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-03 00:00:00 STATUS: INACTIVE