METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 100MCG/ML INJ (19083)    VA PRODUCT (50.68)

Name Value
NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 100MCG/ML INJ
VA GENERIC NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA
DOSAGE FORM INJ,SOLN
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 100
INACTIVATION DATE 2008-09-02 00:00:00
UNITS MCG/ML
NATIONAL FORMULARY NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 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 METHOXY PEG-EPOETIN 100MCG/ML INJ
VA PRODUCT IDENTIFIER M0793
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4026921
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE