TESTOSTERONE 4MG/24HRS PATCH (530)    VA PRODUCT (50.68)

Name Value
NAME TESTOSTERONE 4MG/24HRS PATCH
VA GENERIC NAME TESTOSTERONE
DOSAGE FORM PATCH
HAZARDOUS TO DISPOSE NO
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Schedule III Non-Narcotics
STRENGTH 4
SINGLE/MULTI SOURCE PRODUCT Single source
UNITS MG/24HRS
DSS NUMBER 20
NATIONAL FORMULARY NAME TESTOSTERONE PATCH
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 4MG/24HR PATCH
VA PRODUCT IDENTIFIER T0623
TRANSMIT TO CMOP YES
VA DISPENSE UNIT PATCH
MASTER ENTRY FOR VUID YES
VUID 4001142
EFFECTIVE DATE/TIME
  • 2005-03-10 00:00:00
    STATUS:   ACTIVE
  • 2007-09-25 00:00:00
    STATUS:   INACTIVE
  • 2011-12-09 00:00:00
    STATUS:   ACTIVE