TESTOSTERONE ENANTHATE 200MG/TESTOSTERONE PROPIONATE 25MG INJ (526)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE ENANTHATE 200MG/TESTOSTERONE PROPIONATE 25MG INJ
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM INJ,SOLN
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
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
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   2
    COPAY EFFECTIVE DATE:   2017-02-27 00:00:00
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
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE