DEHYDROCHOLIC AC 25MG/PANCREATIN 300MG/PEPSIN 250MG TAB,EC,SA (7201)    VA PRODUCT (50.68)

Name Value
NAME DEHYDROCHOLIC AC 25MG/PANCREATIN 300MG/PEPSIN 250MG TAB,EC,SA
VA GENERIC NAME DEHYDROCHOLIC ACID/PANCREATIN/PEPSIN
DOSAGE FORM TAB,EC,SA
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2007-09-28 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME DEHYDROCHOLIC ACID/PANCREATIN/PEPSIN TAB,EC,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
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4007710
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-28 00:00:00
    STATUS:   INACTIVE