NAME |
TESTOSTERONE PROPIONATE 100MG/ML INJ (IN OIL) |
VA GENERIC NAME |
TESTOSTERONE |
DOSAGE FORM |
INJ (IN OIL) |
HAZARDOUS TO DISPOSE |
NO |
FORMULARY DESIGNATOR |
PA-F |
ACTIVE INGREDIENTS |
|
NATIONAL FORMULARY INDICATOR |
YES |
CS FEDERAL SCHEDULE |
Schedule III Non-Narcotics |
STRENGTH |
100 |
INACTIVATION DATE |
2004-11-19 00:00:00 |
UNITS |
MG/ML |
DSS NUMBER |
12 |
NATIONAL FORMULARY NAME |
TESTOSTERONE INJ (IN OIL) |
CREATE DEFAULT POSSIBLE DOSAGE |
YES |
CODING SYSTEM |
|
COPAY TIER |
-
- COPAY TIER LEVEL: 2
- COPAY EFFECTIVE DATE: 2017-02-27 00:00:00
|
VA PRINT NAME |
TESTOSTERONE PROP 100MG/ML INJ (OIL) |
VA PRODUCT IDENTIFIER |
T0538 |
TRANSMIT TO CMOP |
YES |
VA DISPENSE UNIT |
ML |
MASTER ENTRY FOR VUID |
NO |
VUID |
4001130 |
EFFECTIVE DATE/TIME |
-
- 2005-03-10 00:00:00
- STATUS: ACTIVE
-
- 2005-12-08 00:00:00
- STATUS: ACTIVE
-
- 2004-11-19 00:00:00
- STATUS: INACTIVE
-
- 2009-05-20 00:00:00
- STATUS: INACTIVE
|