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

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

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

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

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