AMYLAS 43750U/LIPAS 6750U/PANCREAT 250MG/PROTEAS 41250 TAB,EC (9960)    VA PRODUCT (50.68)

Name Value
NAME AMYLAS 43750U/LIPAS 6750U/PANCREAT 250MG/PROTEAS 41250 TAB,EC
VA GENERIC NAME AMYLASE/LIPASE/PANCREATIN/PROTEASE
DOSAGE FORM TAB,EC
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
INACTIVATION DATE 2008-09-03 00:00:00
DSS NUMBER 2
NATIONAL FORMULARY NAME AMYLASE/LIPASE/PANCREATIN/PROTEASE 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
VA PRINT NAME DIZYMES EC TAB
VA PRODUCT IDENTIFIER A0538
TRANSMIT TO CMOP YES
VA DISPENSE UNIT TAB
MASTER ENTRY FOR VUID YES
VUID 4010350
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2008-09-03 00:00:00
    STATUS:   INACTIVE