| NAME |
PEGINTERFERON ALFA-2B 444MCG/VIL INJ,KIT |
| VA GENERIC NAME |
PEGINTERFERON |
| DOSAGE FORM |
INJ,LYPHL |
| FDA MED GUIDE |
Peginterferon_Alfa-2b_(Sylatron)_(2015).pdf |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
444 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| INACTIVATION DATE |
2015-10-30 00:00:00 |
| UNITS |
MCG/VIL |
| NATIONAL FORMULARY NAME |
PEGINTERFERON INJ,LYPHL |
| 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 |
PEGINTERFERON ALFA-2B 444MCG/VIL INJ KIT |
| VA PRODUCT IDENTIFIER |
P0973 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
KIT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030664 |
| EFFECTIVE DATE/TIME |
-
- 2011-06-06 00:00:00
- STATUS: ACTIVE
|
