TESTOSTERONE UNDECANOATE
testosterone undecanoate 1 g/4 mL modified release injection, 4 mL vial
TESTOSTERONE UNDECANOATE (10205D)
10205D
Manner of administration:Injection
Restriction
Indication: Androgen deficiency
Restriction
Indication: Androgen deficiency
Restriction
Indication: Micropenis
Restriction
Indication: Pubertal induction
Restriction
Indication: Constitutional delay of growth or puberty
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 1 | DPMQ: $94.76 | Max safety net: $25.00 | General Patient Charge: $25.00 |
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