How to Prescribe Testosterone Sublingual Solution

Effective January 2, 2020, Rhode Island prescribers must sign and transmit electronic prescriptions in schedules II, III, IV, and V to comply with RI Law §21-28-3.18 section 3.

How to Electronically Prescribe Testosterone Sublingual Solution

1. Select Testosterone (bulk) powder as the drug.  The drug selected needs to be a controlled substance
2. In the instructions, directions, or notes field, please indicate:
   a. The concentration of the preparation
   b. The directions (ex. Place 1 ml under the tongue + hold for 1 minute before swallowing once daily)
   c. An ICD-10 diagnosis code
   d. A quantity of dose units dispensed. Federal law prohibits more than 100 dosage units
   e. Refills (maximum of 5)

The prescription needs to be sent by the prescriber with the controlled substance selected as the active drug for the Electronic Prescriptions for Controlled Substances (EPCS) signature to be validated.

Most Common Formulations

Here are the most requested formulations of this controlled compound:

• Testosterone 1 mg/0.1 ml/Estriol/Estradiol [50%/50%] 0.25 mg/0.1 ml Sublingual Suspension
• Testosterone 5 mg/ml Sublingual Solution
• Testosterone 10 mg/0.5 ml Sublingual Suspension
• Testosterone 25 mg/0.2 ml/Anastrozole 0.1 mg/0.5 ml Sublingual Drops
• Testosterone 25 mg/0.2 ml/Anastrozole 0.1 mg/0.5 ml Sublingual Suspension
• Clomiphene Citrate 12.5 mg/Testosterone 12.5 mg/0.2 ml Sublingual Drops
• Estradiol 0.4 mg/Estriol 1.6 mg/Progesterone 50 mg/Testosterone 5 mg/ml Sublingual Drops