About Gastroenterology

Glossary

Has your physician prescribed the ULTRASE®, ULTRASE® MT or VIOKASE® brand of pancreatic enzyme? If so, your ULTRASE® and ULTRASE® MT Capsule or VIOKASE®  Tablet should look like one of the capsules or tablets in the pictures below.  If you received a prescription for ULTRASE®, ULTRASE® MT or VIOKASE® and your medicine does not look like one of the capsules or tablets below, your prescription may have been improperly substituted.

Click on picture for larger image


ULTRASE®


ULTRASE® MT12


ULTRASE® MT18


ULTRASE®MT20


VIOKASE®8


VIOKASE®16

If you believe your ULTRASE®, ULTRASE® MT or VIOKASE® prescription has been improperly substituted, please provide us with the information requested below. There are no therapeutic equivalents to ULTRASE®, ULTRASE® MT or VIOKASE®.

1. Patient Name

2. Patient Address

3. Patient Telephone Number

4. Name of Pharmacy where prescription was filled

5. Pharmacy Address

6. Pharmacy Phone Number

7. Name of Product
(ULTRASE®, ULTRASE® MT or VIOKASE® )

8.Prescription Number
(from the label on your bottle)

9. Date prescription was filled

We intend to use this information to contact the pharmacy to discuss the laws relating to pancreatic enzyme substitution to avoid improper substitution. We might also contact the State Board of Pharmacy to discuss the possible improper substitution by the pharmacy. If you agree to allow us to use this information, please mark "yes" below.

Do you agree to allow us to use this information to contact the pharmacy to discuss the possible improper substitution?  Do you also agree to allow us to discuss this possible improper substitution with the State Board of Pharmacy?

YES   NO