TESTOSTERONE PROPIONATE 100MG/ML INJ (IN OIL) (517)    VA PRODUCT (50.68)

Name Value
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
  • RxNorm
    CODE:
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