TESTOSTERONE CYPIONATE 50MG/ML INJ (IN OIL) (514)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE CYPIONATE 50MG/ML INJ (IN OIL)
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM INJ,SOLN
FDA MED GUIDE Testosterone_Cyp_Inj_(Generic)_(2022).pdf
HAZARDOUS TO DISPOSE NO
FORMULARY DESIGNATOR PA-F
ACTIVE INGREDIENTS
NATIONAL FORMULARY INDICATOR YES
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 50
INACTIVATION DATE 2007-09-25 00:00:00
UNITS MG/ML
DSS NUMBER 3
NATIONAL FORMULARY NAME TESTOSTERONE INJ,SOLN
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 TESTOSTERONE CYP 50MG/ML INJ (OIL)
VA PRODUCT IDENTIFIER T0537
TRANSMIT TO CMOP YES
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4001127
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE