Displaying 1276 - 1300 of 1446 drugs found. Return to search page.
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| Brand Name/Generic Name/Package Size | NDC/Manufacturer/Class | PA Required | Programs/Coverage Dates |
|---|---|---|---|
| TESTOSTERONE 1% (25MG/2.5G) PK testosterone 2.5 GM |
64380015102 STRIDES PHARMA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 03/01/2023 CHIP start: 03/01/2023 CSHCN start: 03/01/2023 |
| TESTOSTERONE 1% (50 MG/5 G) PK testosterone 5 GM |
21922001902 ENCUBE ETHICALS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 03/22/2022 CHIP start: 03/22/2022 CSHCN start: 03/22/2022 |
| TESTOSTERONE 1% (50 MG/5 G) PK testosterone 5 GM |
00591321730 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/16/2016 CHIP start: 09/16/2016 CSHCN start: 09/16/2016 |
| TESTOSTERONE 1% (50 MG/5 G) PK testosterone 5 GM |
64380015202 STRIDES PHARMA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/06/2023 CHIP start: 06/06/2023 CSHCN start: 06/06/2023 |
| TESTOSTERONE 1.62% (2.5 G) PKT testosterone 2.5 GM |
16714096902 NORTHSTAR RX LL ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/06/2022 CHIP start: 04/06/2022 CSHCN start: 04/06/2022 |
| TESTOSTERONE 1.62% (2.5 G) PKT testosterone 2.5 GM |
00591292630 TEVA USA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/27/2021 CHIP start: 05/27/2021 CSHCN start: 05/27/2021 |
| TESTOSTERONE 1.62% (2.5 G) PKT testosterone 2.5 GM |
45802036665 PERRIGO/PADAGIS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/30/2019 CHIP start: 09/30/2019 CSHCN start: 09/30/2019 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
45802075401 PADAGIS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 02/25/2019 CHIP start: 02/25/2019 CSHCN start: 02/25/2019 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
24979007815 TWI PHARMACEUTI ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/15/2020 CHIP start: 09/15/2020 CSHCN start: 09/15/2020 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
16714096701 NORTHSTAR RX LL ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 05/20/2020 CHIP start: 05/20/2020 CSHCN start: 05/20/2020 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
00591292418 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/30/2020 CHIP start: 12/30/2020 CSHCN start: 12/30/2020 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
68180094111 LUPIN PHARMACEU ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 09/11/2019 CHIP start: 09/11/2019 CSHCN start: 09/11/2019 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
69238101302 AMNEAL PHARMACE ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 10/16/2019 CHIP start: 10/16/2019 CSHCN start: 10/16/2019 |
| TESTOSTERONE 1.62% GEL PUMP testosterone 75 GM |
70700011221 XIROMED, LLC ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: No |
Medicaid start: 12/14/2020 CHIP start: 12/14/2020 CSHCN start: 12/14/2020 |
| TESTOSTERONE 1.62%(1.25 G) PKT testosterone 1.25 GM |
16714096802 NORTHSTAR RX LL ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/06/2022 CHIP start: 04/06/2022 CSHCN start: 04/06/2022 |
| TESTOSTERONE 1.62%(1.25 G) PKT testosterone 1.25 GM |
00591292530 TEVA USA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 05/27/2021 CHIP start: 05/27/2021 CSHCN start: 05/27/2021 |
| TESTOSTERONE 1.62%(1.25 G) PKT testosterone 1.25 GM |
45802028139 PERRIGO/PADAGIS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/30/2019 CHIP start: 09/30/2019 CSHCN start: 09/30/2019 |
| TESTOSTERONE 10 MG GEL PUMP testosterone 60 GM |
00591236360 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 04/11/2019 CHIP start: 04/11/2019 CSHCN start: 04/11/2019 |
| TESTOSTERONE 10 MG GEL PUMP testosterone 60 GM |
00603783188 QUALITEST/PAR P ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 11/17/2014 CHIP start: 11/17/2014 CSHCN start: 11/17/2014 |
| TESTOSTERONE 12.5 MG/1.25 GRAM testosterone 75 GM |
00591292102 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/16/2016 CHIP start: 09/16/2016 CSHCN start: 09/16/2016 |
| TESTOSTERONE 12.5 MG/1.25 GRAM testosterone 75 GM |
00832112142 UPSHER SMITH LA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 06/18/2015 CHIP start: 06/18/2015 CSHCN start: 06/18/2015 |
| TESTOSTERONE 30 MG/1.5 ML PUMP testosterone 90 ML |
45802061001 PADAGIS ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 09/27/2017 CHIP start: 09/27/2017 CSHCN start: 09/27/2017 |
| TESTOSTERONE 30 MG/1.5 ML PUMP testosterone 90 ML |
69097036344 CIPLA USA, INC. ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 02/02/2021 CHIP start: 02/02/2021 CSHCN start: 02/02/2021 |
| TESTOSTERONE 30 MG/1.5 ML PUMP testosterone 90 ML |
24979013026 TWI PHARMACEUTI ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 08/01/2023 CHIP start: 08/01/2023 CSHCN start: 08/01/2023 |
| TESTOSTERONE 30 MG/1.5 ML PUMP testosterone 90 ML |
00591211481 ACTAVIS/TEVA ANDROGENIC AGENTS |
FFS Clinical: Yes PDL: Yes |
Medicaid start: 12/13/2017 CHIP start: 12/13/2017 CSHCN start: 12/13/2017 |