AMYLASE/DEHYDROCHOLIC AC/DESOXYCHOLIC AC/PROTEASE TAB (6670) VA PRODUCT (50.68)

Name	Value
NAME	AMYLASE/DEHYDROCHOLIC AC/DESOXYCHOLIC AC/PROTEASE TAB
VA GENERIC NAME	AMYLASE/DEHYDROCHOLIC ACID/DESOXYCHOLIC ACID/PROTEASE
DOSAGE FORM	TAB
ACTIVE INGREDIENTS	AMYLASE STRENGTH: 30 UNITS: MG PROTEASE STRENGTH: 6 UNITS: MG DEHYDROCHOLIC ACID STRENGTH: 200 UNITS: MG DESOXYCHOLIC ACID STRENGTH: 50 UNITS: MG
CS FEDERAL SCHEDULE	Unscheduled
INACTIVATION DATE	2007-09-18 00:00:00
DSS NUMBER	1
NATIONAL FORMULARY NAME	AMYLASE/DEHYDROCHOLIC ACID/DESOXYCHOLIC ACID/PROTEASE TAB
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	BILEZYME TAB
VA PRODUCT IDENTIFIER	B0238
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	TAB
MASTER ENTRY FOR VUID	YES
VUID	4007186
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2007-09-18 00:00:00 STATUS: INACTIVE