| NAME |
INTERFERON ALFA-2B,RECOMBINANT 10 MILLION UNIT/ML INJ,SOLN |
| VA GENERIC NAME |
INTERFERON ALFA-2B |
| DOSAGE FORM |
INJ,SOLN |
| FDA MED GUIDE |
Interferon_Alfa-2b_Pen_Soln_Vial_(Intron_A)_(2017).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| FORMULARY DESIGNATOR TEXT |
VISNs will determine which interferon alfa products are necessary to meet patient needs.
|
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
10 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2021-12-15 00:00:00 |
| UNITS |
MILLION UNIT/ML |
| NATIONAL FORMULARY NAME |
INTERFERON ALFA-2B INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
INTERFERON ALFA-2B 10 MIL UNIT/ML INJ |
| VA PRODUCT IDENTIFIER |
I0516 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
VI |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030281 |
| EFFECTIVE DATE/TIME |
-
- 2010-12-03 00:00:00
- STATUS: ACTIVE
-
- 2021-12-15 00:00:00
- STATUS: INACTIVE
|
