METHYLTESTOSTERONE 10MG CAP (170) VA PRODUCT (50.68)

Name	Value
NAME	METHYLTESTOSTERONE 10MG CAP
VA GENERIC NAME	METHYLTESTOSTERONE
DOSAGE FORM	CAP,ORAL
HAZARDOUS TO DISPOSE	NO
ACTIVE INGREDIENTS	METHYLTESTOSTERONE STRENGTH: 10 UNITS: MG
CS FEDERAL SCHEDULE	Schedule III Non-Narcotics
STRENGTH	10
SINGLE/MULTI SOURCE PRODUCT	Multisource
UNITS	MG
DSS NUMBER	3
NATIONAL FORMULARY NAME	METHYLTESTOSTERONE CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE	YES
CODING SYSTEM	RxNorm CODE:
COPAY TIER	COPAY TIER LEVEL: 2 COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
VA PRINT NAME	METHYLTESTOSTERONE 10MG CAP
VA PRODUCT IDENTIFIER	M0503
TRANSMIT TO CMOP	NO
VA DISPENSE UNIT	CAP
MASTER ENTRY FOR VUID	YES
VUID	4000793
EFFECTIVE DATE/TIME	2005-03-10 00:00:00 STATUS: ACTIVE