TESTOSTERONE 30MG PATCH,SA,BUCCAL (16544)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE 30MG PATCH,SA,BUCCAL
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM PATCH,BUCCAL
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 30
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2020-09-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME TESTOSTERONE PATCH,BUCCAL
CREATE DEFAULT POSSIBLE DOSAGE YES
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 TESTOSTERONE 30MG SA PATCH BUCCAL
VA PRODUCT IDENTIFIER T0573
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4016907
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2020-09-15 00:00:00
    STATUS:   INACTIVE
  • 2020-09-15 00:00:00
    STATUS:   INACTIVE
  • 2020-09-15 00:00:00
    STATUS:   INACTIVE