TESTOSTERONE 75MG PELLET (524)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE 75MG PELLET
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM PELLET
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 75
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG
DSS NUMBER 13
NATIONAL FORMULARY NAME TESTOSTERONE PELLET
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
VA PRINT NAME TESTOSTERONE 75MG PELLET
VA PRODUCT IDENTIFIER T0760
TRANSMIT TO CMOP NO
MASTER ENTRY FOR VUID YES
VUID 4001136
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE