METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 200MCG/0.3ML SYR INJ (19093)    VA PRODUCT (50.68)

Name Value
NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 200MCG/0.3ML SYR INJ
VA GENERIC NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Methoxy_Polyethylene_Glycol-Epoetin_Beta_(Mircera)_(2023).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 200
UNITS MCG/0.3ML
NATIONAL FORMULARY NAME METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME METHOXY PEG-EPOETIN 200MCG/0.3ML SYR
VA PRODUCT IDENTIFIER M0795
TRANSMIT TO CMOP NO
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4026931
EFFECTIVE DATE/TIME
  • 2007-12-20 00:00:00
    STATUS:   ACTIVE
  • 2008-09-02 00:00:00
    STATUS:   INACTIVE