TESTOSTERONE CYPIONATE 100MG/ML INJ (IN OIL) (515)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE CYPIONATE 100MG/ML INJ (IN OIL)
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 100
SINGLE/MULTI SOURCE PRODUCT Multisource
UNITS MG/ML
DSS NUMBER 4
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 CYP 100MG/ML INJ (IN OIL)
VA PRODUCT IDENTIFIER T0484
TRANSMIT TO CMOP NO
VA DISPENSE UNIT ML
MASTER ENTRY FOR VUID YES
VUID 4001128
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE