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Testosterone cypionate (Depo-Testosterone), testosterone enanthate (Xyosted, available generically), testosterone undecanoate (Aveed), and testosterone pellet (Testopel) are forms of testosterone injection used to treat symptoms of low testosterone in men who have hypogonadism (a condition in which the body does not produce enough natural testosterone). 86, which is 88% off the average retail price of $390. Increased lean mass and muscle growth. You save 18% off the average U. Endo Pharmaceuticals Patient Assistance Program, a patient assistance program provided by Endo Pharmaceuticals, Inc. 111 Unilateral intraabdominal testis Q53. Most patients were considered satisfied with Testopel treatment (86%, 69/80) based on a report of improved symptoms or scheduling a subsequent Testopel pellet insertion procedure. It is used to treat low testosterone levels. The typical retail price of Fortesta is $490. 91105; Price Alerts; RITE AID. 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Policy/Criteria ; Provider must submit documentation (such as office chart notes, lab results or other clinicalHow much does Testopel cost? Testopel Prices and Coupons. g. Diagnosis of male hypogonadism c. S0189 Testopel 75 MG PLLT S0189 Testosterone pellet, 75 mg ICD-10 Diagnosis Code Description E30. Set Location . It is not covered by most Medicare and insurance plans, but manufacturer and pharmacy coupons can help offset the cost. Eligibility. REMS Availability: Testosterone is only available at certified specialty pharmacies. Gender dysphoria when all of the following are met: The member has a diagnosis of gender dysphoria; and. e. Get free Testopel coupons instantly and save up to 80%. Evaluation of cardiovascular risk for MI, angina, stroke 7. Testopel Coupons, Prices, and Savings Card. Custom Quantity. With injections of 50mg per week, implantation of 300mg (4 pellets) may suffice for approximately three months. S. 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