All *ANDROGENS-ANABOLIC*

Anadrol-50 Tablet 50 MG Oral
Anadrol-50 Tablet 50 MG Oral

Oxymetholone

Tier: 3
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 2 MG/24HR Transdermal
Androderm Patch 24 Hour 2 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 2 MG/24HR Transdermal
Androderm Patch 24 Hour 2 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 2 MG/24HR Transdermal
Androderm Patch 24 Hour 2 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 2 MG/24HR Transdermal
Androderm Patch 24 Hour 2 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 4 MG/24HR Transdermal
Androderm Patch 24 Hour 4 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 4 MG/24HR Transdermal
Androderm Patch 24 Hour 4 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 4 MG/24HR Transdermal
Androderm Patch 24 Hour 4 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
Androderm Patch 24 Hour 4 MG/24HR Transdermal
Androderm Patch 24 Hour 4 MG/24HR Transdermal

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N
AndroGel Gel 20.25 MG/1.25GM (1.62%) Transdermal
AndroGel Gel 20.25 MG/1.25GM (1.62%) Transdermal

Testosterone

Tier: 3
PA Type: No Prior Authorization
ST: N
AndroGel Gel 20.25 MG/1.25GM (1.62%) Transdermal
AndroGel Gel 20.25 MG/1.25GM (1.62%) Transdermal

Testosterone

Tier: 3
PA Type: No Prior Authorization
ST: N
AndroGel GEL 25 MG/2.5GM (1%) TRANSDERMAL
AndroGel GEL 25 MG/2.5GM (1%) TRANSDERMAL

Testosterone

Tier: Non-Formulary
PA Type: No Prior Authorization
ST: N