INTERFERON ALFA-2A,RECOMBINANT 3 MILLION UNT/ML INJ (1700) VA PRODUCT (50.68)

Name	Value
NAME	INTERFERON ALFA-2A,RECOMBINANT 3 MILLION UNT/ML 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	PHENOL STRENGTH: 3 UNITS: MG/ML SODIUM CHLORIDE STRENGTH: 9 UNITS: MG/ML INTERFERON ALFA-2A,RECOMBINANT STRENGTH: 3MILLION UNITS: UNIT/ML ALBUMIN,HUMAN STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	3000000
INACTIVATION DATE	2009-05-20 00:00:00
UNITS	UNIT/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	INTERFERON ALFA-2A 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	INTERFERON ALFA-2A 3 MIL UNT/ML VIL 1ML
VA PRODUCT IDENTIFIER	I0219
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4002286
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-05-20 00:00:00 STATUS: INACTIVE