B-DONNA/DEHYDROCHOLIC AC/LIPASE/OX BILE/PANCREATIN PEPSIN TAB,EC (4208) VA PRODUCT (50.68)

Name	Value
NAME	B-DONNA/DEHYDROCHOLIC AC/LIPASE/OX BILE/PANCREATIN PEPSIN TAB,EC
VA GENERIC NAME	BELLADONNA/DEHYDROCHOLIC ACID/LIPASE/OX BILE/PANCREATIN/PEPSIN
DOSAGE FORM	TAB,EC
ACTIVE INGREDIENTS	PANCREATIN STRENGTH: 75 UNITS: MG PEPSIN STRENGTH: 260 UNITS: MG LIPASE STRENGTH: 0 UNITS: NS BELLADONNA STRENGTH: 8 UNITS: MG DEHYDROCHOLIC ACID STRENGTH: 30 UNITS: MG OX BILE EXTRACT STRENGTH: 100 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2008-09-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	BELLADONNA/DEHYDROCHOLIC ACID/LIPASE/OX BILE/PANCREATIN/PEPSIN 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
TRANSMIT TO CMOP	NO
MASTER ENTRY FOR VUID	YES
VUID	4004760
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2008-09-02 00:00:00 STATUS: INACTIVE