| NAME |
INTERFERON ALFA-2A,RECOMINANT 6 MILLION UNT/SYR INJ |
| VA GENERIC NAME |
INTERFERON ALFA-2A |
| DOSAGE FORM |
INJ,SOLN |
| FORMULARY DESIGNATOR TEXT |
VISNs will determine which interferon alfa products are necessary to meet patient needs.
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
6 |
| INACTIVATION DATE |
2000-09-18 00:00:00 |
| UNITS |
MILLION UNIT/SYR |
| NATIONAL FORMULARY NAME |
INTERFERON ALFA-2A INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| 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 ALFA-2A 6 MIL UNT/SYR INJ |
| VA PRODUCT IDENTIFIER |
I0307 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYRINGE |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4014932 |
| EFFECTIVE DATE/TIME |
-
- 2000-09-18 00:00:00
- STATUS: INACTIVE
-
- 2005-12-08 00:00:00
- STATUS: INACTIVE
|
