AMYLASE 56000UNT/LIPASE 20000UNT/PROTEASE 44000UNT CAP,EC (4205) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE 56000UNT/LIPASE 20000UNT/PROTEASE 44000UNT CAP,EC
VA GENERIC NAME	AMYLASE/LIPASE/PROTEASE
DOSAGE FORM	CAP,EC
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 56000 UNITS: UNIT LIPASE STRENGTH: 20000 UNITS: UNIT PROTEASE STRENGTH: 44000 UNITS: UNIT
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2012-07-05 00:00:00
DSS NUMBER	33
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 20 EC CAP
VA PRODUCT IDENTIFIER	P0475
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4004757
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2012-07-05 00:00:00 STATUS: INACTIVE