| Name | Value |
|---|---|
| NAME | TESTOSTERONE 6HG/24HRS PATCH |
| VA GENERIC NAME | TESTOSTERONE |
| DOSAGE FORM | PATCH |
| HAZARDOUS TO DISPOSE | NO |
| FORMULARY DESIGNATOR | PA-F |
| ACTIVE INGREDIENTS |
|
| NATIONAL FORMULARY INDICATOR | YES |
| CS FEDERAL SCHEDULE | Schedule III Non-Narcotics |
| STRENGTH | 6 |
| INACTIVATION DATE | 2007-09-25 00:00:00 |
| UNITS | MG/24HRS |
| DSS NUMBER | 21 |
| NATIONAL FORMULARY NAME | TESTOSTERONE PATCH |
| CREATE DEFAULT POSSIBLE DOSAGE | YES |
| CODING SYSTEM |
|
| COPAY TIER |
|
| VA PRINT NAME | TESTOSTERONE 6MG/24HR PATCH |
| VA PRODUCT IDENTIFIER | T0626 |
| TRANSMIT TO CMOP | YES |
| VA DISPENSE UNIT | PATCH |
| MASTER ENTRY FOR VUID | YES |
| VUID | 4001143 |
| EFFECTIVE DATE/TIME |
|