INTERFERON ALFA-3N 5 MILLION UNT/ML INJ (8836) VA PRODUCT (50.68)

Name	Value
NAME	INTERFERON ALFA-3N 5 MILLION UNT/ML INJ
VA GENERIC NAME	INTERFERON ALFA-3N
DOSAGE FORM	INJ,SOLN
HAZARDOUS TO DISPOSE	NO
FORMULARY DESIGNATOR TEXT	VISNs will determine which interferon alfa products are necessary to meet patient needs.
ACTIVE INGREDIENTS	INTERFERON ALFA-3N,HUMAN LEUKOCYTE DERIVED STRENGTH: 5 MILLION UNITS: UNT/VIL PHENOL STRENGTH: 3.3 UNITS: MG/ML ALBUMIN,HUMAN STRENGTH: 1 UNITS: MG/ML
CS FEDERAL SCHEDULE	Unscheduled
STRENGTH	5000000
SINGLE/MULTI SOURCE PRODUCT	Single source
UNITS	UNIT/ML
DSS NUMBER	1
NATIONAL FORMULARY NAME	INTERFERON ALFA-3N INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE	NO
POSSIBLE DOSAGES TO CREATE	No Possible Dosages
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	INTERFERON ALFA-3N 5 MILLION UNT/ML INJ
VA PRODUCT IDENTIFIER	I0248
TRANSMIT TO CMOP	YES
VA DISPENSE UNIT	ML
MASTER ENTRY FOR VUID	YES
VUID	4009293
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE