PEGINTERFERON ALFA-2A 180MCG/0.5ML INJ,SYR,PKT,4 (16657)    VA PRODUCT (50.68)

Name Value
NAME PEGINTERFERON ALFA-2A 180MCG/0.5ML INJ,SYR,PKT,4
VA GENERIC NAME PEGINTERFERON
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Peginterferon_Alfa-2a_(Pegasys)_(2017).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 180
INACTIVATION DATE 2011-09-23 00:00:00
UNITS MCG/0.5ML
NATIONAL FORMULARY NAME PEGINTERFERON 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 PEGINTERFER ALFA-2A 180MCG/0.5ML SYR 4PK
VA PRODUCT IDENTIFIER P0691
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PKT
MASTER ENTRY FOR VUID YES
VUID 4017020
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2011-09-23 00:00:00
    STATUS:   INACTIVE
  • 2011-09-23 00:00:00
    STATUS:   INACTIVE
  • 2011-09-23 00:00:00
    STATUS:   INACTIVE