PEGINTERFERON ALFA-2A 135MCG/0.5ML INJ,PEN,0.5ML (22813)    VA PRODUCT (50.68)

Name Value
NAME PEGINTERFERON ALFA-2A 135MCG/0.5ML INJ,PEN,0.5ML
VA GENERIC NAME PEGINTERFERON
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Peginterferon_Alfa-2a_(Pegasys)_(2017).pdf
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 135
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2019-10-15 00:00:00
UNITS MCG/0.5ML
NATIONAL FORMULARY NAME PEGINTERFERON 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 PEGINTERFERON ALFA-2A 135MCG/0.5ML PEN
VA PRODUCT IDENTIFIER P0995
TRANSMIT TO CMOP YES
VA DISPENSE UNIT SYR
MASTER ENTRY FOR VUID YES
VUID 4031171
EFFECTIVE DATE/TIME
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE
  • 2019-10-15 00:00:00
    STATUS:   INACTIVE