DARBEPOETIN ALFA,RECOMBINANT 200MCG/0.4ML SYR INJ W/ALBUMIN (16334)    VA PRODUCT (50.68)

Name Value
NAME DARBEPOETIN ALFA,RECOMBINANT 200MCG/0.4ML SYR INJ W/ALBUMIN
VA GENERIC NAME DARBEPOETIN ALFA,RECOMBINANT
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Darbepoetin_(Aranesp)_(2018).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
INACTIVATION DATE 2009-05-07 00:00:00
UNITS MCG/0.4ML
NATIONAL FORMULARY NAME DARBEPOETIN ALFA,RECOMBINANT INJ,SOLN
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 DARBEPOETIN ALFA 200MCG/0.4ML SYR W/ALB
VA PRODUCT IDENTIFIER D0612
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4016697
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2009-05-07 00:00:00
    STATUS:   INACTIVE
  • 2009-05-07 00:00:00
    STATUS:   INACTIVE