Product Details

Taro-Testosterone

Testosterone Undecanoate
40 mg
Capsule


DIN/PIN/NPN

02421186

Manufacturer

Taro Pharmaceuticals Inc.

Formulary Listing Date

2014-10-29  

Unit Price

0.4700

Amount MOH Pays

0.4700

Coverage Status

Limited Use Product

ODB Formulary Therapeutic Classification

Therapeutic Note

NO

ATC Code

G03BA03

Interchangeable Products

DIN/ PIN/ NPN Brand name Unit Price Amount MOH pays
02421186 Taro-Testosterone 0.4700 0.4700
02322498 PMS-Testosterone 0.4700 0.4700
00782327 Andriol NA NA
 

LU Clinical Criteria

LU Code Auth. Period Clinical Criteria
397 1 year

For male patients with confirmed low morning serum testosterone levels associated with documented, symptomatic hypothalamic, pituitary or testicular disease, or in HIV-infected patients.

Note: Older males with nonspecific symptoms of fatigue, malaise, depression who have a low normal random testosterone level do not satisfy these criteria.

 

EAP Criteria

Therapeutic Class Reimbursement Criteria
Unclassified EAP Drugs

These drugs are not currently listed in the Exceptional Access Program Reimbursement Criteria for Frequently Requested Drugs – August 8, 2023 Edition

Physicians may wish to contact the EAP directly by phone at 416-327-8109 or 1-866-811-9893 or by email at EAPFeedback.MOH@ontario.ca to see if an unlisted drug product and/or indication may be considered for EAP funding.

Product Monograph

View Monograph