TESTOSTERONE ENANTHATE 200MG/ML INJ (IN OIL) (513)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE ENANTHATE 200MG/ML INJ (IN OIL)
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 200
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
DSS NUMBER 2
NATIONAL FORMULARY NAME TESTOSTERONE INJ,SOLN
CREATE DEFAULT POSSIBLE DOSAGE NO
POSSIBLE DOSAGES TO CREATE No Possible Dosages
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME TESTOSTERONE ENAN 200MG/ML INJ (IN OIL)
VA PRODUCT IDENTIFIER T0532
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4001126
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE