PROTILASE CAP (4204) VA PRODUCT (50.68)

Name	Value
NAME	PROTILASE CAP
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 20000 UNITS: UNIT LIPASE STRENGTH: 4000 UNITS: UNIT PROTEASE STRENGTH: 25000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-25 00:00:00
DSS NUMBER	32
NATIONAL FORMULARY NAME	AMYLASE/LIPASE/PROTEASE CAP,ORAL
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	PROTILASE CAP
VA PRODUCT IDENTIFIER	P0505
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004756
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-25 00:00:00 STATUS: INACTIVE