Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
AVONEX
Allscripts
54569-4433-00
KIT
33 MCG
4s ea
1076.25
AVONEX
Biogen Idec
59627-0001-03
KIT
33 MCG
4s ea
1530.00
1275.00
AVONEX
Biogen Idec
59627-0002-05
KIT
30 MCG/0.5 ML
4s ea
1530.00
1275.00
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
AVONEX
MANUFACTURER:
Allscripts
FORM:
KIT
STRENGTH:
33 MCG
ROUTE OF ADMIN:
INTRAMUSCULAR
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.)
GENERIC NAME:
INTERFERON BETA-1A
NDC:
54569-4433-00
SIZE:
4s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
Y
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1076.25
269.0625
10/31/2002
DIR
HCFA
PRODUCT:
AVONEX
MANUFACTURER:
Biogen Idec
FORM:
KIT
STRENGTH:
33 MCG
ROUTE OF ADMIN:
INTRAMUSCULAR
ORANGE BOOK CODE:
ADD'L DESC:
(S.D.V.)
GENERIC NAME:
INTERFERON BETA-1A
NDC:
59627-0001-03
SIZE:
4s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1530.00
382.5000
12/2/2005
DIR
HCFA
PRODUCT:
AVONEX
MANUFACTURER:
Biogen Idec
FORM:
KIT
STRENGTH:
30 MCG/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(4 PREFILLED SYRINGES W/A
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:INTERFERON BETA-1A
NDC:
59627-0002-05
SIZE:
4s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
Y
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
1530.00
382.5000
12/2/2005
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 2
