BILE SALTS/DEHYDROCHOLIC AC/PANCREATIN/PEPSIN TAB,SA (6363) VA PRODUCT (50.68)

Name	Value
NAME	BILE SALTS/DEHYDROCHOLIC AC/PANCREATIN/PEPSIN TAB,SA
VA GENERIC NAME	BILE SALTS/DEHYDROCHOLIC ACID/PANCREATIN/PEPSIN
DOSAGE FORM	TAB,SA
ACTIVE INGREDIENTS	BILE SALTS STRENGTH: 150 UNITS: MG PANCREATIN STRENGTH: 300 UNITS: MG PEPSIN STRENGTH: 250 UNITS: MG DEHYDROCHOLIC ACID STRENGTH: 25 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	2
NATIONAL FORMULARY NAME	BILE SALTS/DEHYDROCHOLIC ACID/PANCREATIN/PEPSIN TAB,SA
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	PLENOZYM TAB
VA PRODUCT IDENTIFIER	B0179
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4006883
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE