TESTOSTERONE

TESTOSTERONE (10380H)

testosterone 1% (12.5 mg/actuation) gel, 2 x 60 actuations
10380H
Body System:
Manner of administration:Transdermal
General Schedule
Authority Required

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: 4 DPMQ: $79.29 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Testogel

TESTOSTERONE (13924W)

testosterone 1% (12.5 mg/actuation) gel, 2 x 60 actuations
13924W
Body System:
Manner of administration:Transdermal
General Schedule
Authority Required

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: 2 Max qty units: 2 # of repeats: 4 DPMQ: $146.34 Max safety net: $25.00 General Patient Charge: $25.00
Available brands
Testogel