Red Book(TM) for Windows®
Release: APRIL, 2006
Product Information
Product
Manuf/Dist
Identifier
Form
Strength
Size
UD
AWP
WAC
ROFERON-A
Roche Labs
00004-2017-09
KIT
9 MILLION
ea
125.24
104.37
IU/0.5 ML
ROFERON-A
Roche Labs
00004-2015-09
KIT
3 MILLION
ea
44.50
37.08
IU/0.5 ML
ROFERON-A
Roche Labs
00004-2016-09
KIT
6 MILLION
ea
88.96
74.13
IU/0.5 ML
ROFERON-A
Roche Labs
00004-2015-07
KIT
3 MILLION
6s ea
266.94
222.45
IU/0.5 ML
ROFERON-A
Roche Labs
00004-2016-07
KIT
6 MILLION
6s ea
533.66
444.72
IU/0.5 ML
ROFERON-A
Roche Labs
00004-2017-07
KIT
9 MILLION
6s ea
751.40
626.17
IU/0.5 ML
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
Detailed Product Information
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
9 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
GENERIC NAME:
INTERFERON ALFA-2A
NDC:
00004-2017-09
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
125.24
125.2400
2/7/2006
DIR
HCFA
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
3 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
GENERIC NAME:
INTERFERON ALFA-2A
NDC:
00004-2015-09
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
44.50
44.5000
2/7/2006
DIR
HCFA
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
6 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
Copyright © 2006, Thomson PDR.
Page 1
Red Book(TM) for Windows®
Release: APRIL, 2006
GENERIC NAME:INTERFERON ALFA-2A
NDC:
00004-2016-09
SIZE:
ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
88.96
88.9600
2/7/2006
DIR
HCFA
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
3 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
GENERIC NAME:
INTERFERON ALFA-2A
NDC:
00004-2015-07
SIZE:
6s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
266.94
44.4900
2/7/2006
DIR
HCFA
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
6 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
GENERIC NAME:
INTERFERON ALFA-2A
NDC:
00004-2016-07
SIZE:
6s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Copyright © 2006, Thomson PDR.
Page 2
Red Book(TM) for Windows®
Release: APRIL, 2006
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
533.66
88.9433
2/7/2006
DIR
HCFA
PRODUCT:
ROFERON-A
MANUFACTURER:
Roche Labs
FORM:
KIT
STRENGTH:
9 MILLION IU/0.5 ML
ROUTE OF ADMIN:
MULTIPLE ROUTES
ORANGE BOOK CODE:
ADD'L DESC:
(SRN,PREFILLED)
GENERIC NAME:
INTERFERON ALFA-2A
NDC:
00004-2017-07
SIZE:
6s ea
DEA Class:
RX
UNIT DOSE (Y/N):
N
SINGLE SOURCE (Y/N):
N
REPACKAGER (Y/N):
N
GENERIC (Y/N):
N
Current Pricing Information
PKG
UNIT
EFF. DATE
AWP
751.40
125.2333
2/7/2006
DIR
HCFA
Copyright © 2006, Thomson PDR.
Page 3