PEGINTERFERON ALFA-2B 50MCG/0.5ML INJ,KIT (16720)    VA PRODUCT (50.68)

Name Value
NAME PEGINTERFERON ALFA-2B 50MCG/0.5ML INJ,KIT
VA GENERIC NAME PEGINTERFERON
DOSAGE FORM INJ,PWDR
FDA MED GUIDE Peginterferon_Alfa-2b_(PegIntron)_(2019).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 50
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-10-18 00:00:00
UNITS MCG/0.5ML
NATIONAL FORMULARY NAME PEGINTERFERON INJ,PWDR
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
    COPAY END DATE:   2021-07-29 00:00:00
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2021-07-30 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME PEGINTERFERON ALFA-2B 50MCG/0.5ML KIT
VA PRODUCT IDENTIFIER P0693
TRANSMIT TO CMOP YES
VA DISPENSE UNIT KIT
MASTER ENTRY FOR VUID YES
VUID 4017083
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE
  • 2021-10-18 00:00:00
    STATUS:   INACTIVE