INTERFERON ALFA-2A,RECOMBINANT 18 MILLION UNT/VIL INJ (1702) VA PRODUCT (50.68)

Name	Value
NAME	INTERFERON ALFA-2A,RECOMBINANT 18 MILLION UNT/VIL 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: 18MILLION UNITS: UNT/VIL ALBUMIN,HUMAN STRENGTH: 5 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	18000000
INACTIVATION DATE	2009-05-20 00:00:00
UNITS	UNT/VIL
DSS NUMBER	3
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 18 MIL UNT/VIL INJ
VA PRODUCT IDENTIFIER	I0225
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	VI
MASTER ENTRY FOR VUID	YES
VUID	4002288
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE 2009-05-20 00:00:00 STATUS: INACTIVE