| NAME |
TESTOSTERONE 30MG/PUMP SOLN,TOP |
| VA GENERIC NAME |
TESTOSTERONE |
| DOSAGE FORM |
SOLN,TOP |
| FDA MED GUIDE |
Testosterone_Top_Soln_(Generic)_(2019).pdf |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Schedule III Non-Narcotics |
| STRENGTH |
30 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/PUMP |
| NATIONAL FORMULARY NAME |
TESTOSTERONE SOLN,TOP |
| CREATE DEFAULT POSSIBLE DOSAGE |
NO |
| POSSIBLE DOSAGES TO CREATE |
No Possible Dosages |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
- COPAY END DATE: 2017-08-31 00:00:00
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-09-01 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
TESTOSTERONE 30MG/PUMP TOP SOLN |
| VA PRODUCT IDENTIFIER |
T0766 |
| TRANSMIT TO CMOP |
NO |
| VA DISPENSE UNIT |
CANNISTER |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4030662 |
| EFFECTIVE DATE/TIME |
-
- 2011-06-06 00:00:00
- STATUS: ACTIVE
|
