AMYLASE/CELLULASE/HYOSCYAMINE/LIPASE/P-TOLOXAMINE/PROTEASE CAP (6202) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE/CELLULASE/HYOSCYAMINE/LIPASE/P-TOLOXAMINE/PROTEASE CAP
VA GENERIC NAME	AMYLASE/CELLULASE/HYOSCYAMINE/LIPASE/PHENYLTOLOXAMINE/PROTEASE
DOSAGE FORM	CAP,ORAL
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 30 UNITS: MG LIPASE STRENGTH: 75 UNITS: MG PROTEASE STRENGTH: 6 UNITS: MG CELLULASE STRENGTH: 2 UNITS: MG PHENYLTOLOXAMINE DIHYDROGEN CITRATE STRENGTH: 15 UNITS: MG HYOSCYAMINE SULFATE STRENGTH: 0.0625 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2010-06-02 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMYLASE/CELLULASE/HYOSCYAMINE/LIPASE/PHENYLTOLOXAMINE/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	KUTRASE CAP
VA PRODUCT IDENTIFIER	A0544
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4006723
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2010-06-02 00:00:00 STATUS: INACTIVE