INTERFERON BETA-1A,RECOMBINANT 33 MCG/VIL INJ (12996)    VA PRODUCT (50.68)

Name Value
NAME INTERFERON BETA-1A,RECOMBINANT 33 MCG/VIL INJ
VA GENERIC NAME INTERFERON BETA-1A
DOSAGE FORM INJ,LYPHL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 33
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2000-05-23 00:00:00
UNITS MCG/VIL
NATIONAL FORMULARY NAME INTERFERON BETA-1A INJ,LYPHL
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 INTERFERON BETA-1A 33MCG/VIL INJ
VA PRODUCT IDENTIFIER I0271
TRANSMIT TO CMOP YES
VA DISPENSE UNIT VI
MASTER ENTRY FOR VUID YES
VUID 4013361
EFFECTIVE DATE/TIME
  • 2000-05-23 00:00:00
    STATUS:   INACTIVE
  • 2005-12-08 00:00:00
    STATUS:   INACTIVE