| Name | Value |
|---|---|
| NAME | TESTOSTERONE ENANTHATE 200MG/TESTOSTERONE PROPIONATE 25MG INJ |
| VA GENERIC NAME | TESTOSTERONE |
| DOSAGE FORM | INJ,SOLN |
| HAZARDOUS TO DISPOSE | NO |
| FORMULARY DESIGNATOR | PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR | NO |
| CS FEDERAL SCHEDULE | Schedule III Non-Narcotics |
| INACTIVATION DATE | 2007-09-25 00:00:00 |
| DSS NUMBER | 15 |
| NATIONAL FORMULARY NAME | TESTOSTERONE INJ,SOLN |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| VA PRINT NAME | TESTOST E 200MG/TESTOST P 25MG/ML INJ |
| VA PRODUCT IDENTIFIER | T0533 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | ML |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4001138 |
| EFFECTIVE DATE/TIME |
|