| NAME |
EPOETIN ALFA,RECOMBINANT 20000UNT/ML INJ |
| VA GENERIC NAME |
EPOETIN ALFA,RECOMBINANT |
| DOSAGE FORM |
INJ,SOLN |
| FDA MED GUIDE |
Epoetin_Alfa_(Epogen)_(2017).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
20000 |
| SINGLE/MULTI SOURCE PRODUCT |
Multisource |
| UNITS |
UNIT/ML |
| DSS NUMBER |
6 |
| NATIONAL FORMULARY NAME |
EPOETIN ALFA,RECOMBINANT 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 |
EPOETIN ALFA,RECOMB 20,000 UNT/ML INJ |
| VA PRODUCT IDENTIFIER |
E0493 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
ML |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4009083 |
| EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
|
