| NAME |
METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA 120MCG/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 |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| STRENGTH |
120 |
| UNITS |
MCG/0.3ML |
| NATIONAL FORMULARY NAME |
METHOXY POLYETHYLENE GLYCOL-EPOETIN BETA INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2023-04-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
METHOXY PEG-EPOETIN 120MCG/0.3ML SYR |
| VA PRODUCT IDENTIFIER |
M1319 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
SYR |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4042199 |
| EFFECTIVE DATE/TIME |
-
- 2023-04-27 00:00:00
- STATUS: ACTIVE
|
