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NDC-11 (Package) NDC-9 (Product) Generic Name Brand Name Strength SEER*Rx Category Major Class Minor Class Administration Route Package Effective Date Package Discontinuation Date Status
50090-2363-00 50090-2363 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 10.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, IM, IV, Intramuscular, Intravenous Apr 21, 2016 Feb 28, 2019 In Use
51862-0449-60 51862-0449 Tamoxifen Citrate Tamoxifen Citrate 10.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Jul 18, 2016 Feb 28, 2019 No Longer Used
50090-0095-01 50090-0095 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Nov 28, 2014 Feb 28, 2019 In Use
00179-0123-70 00179-0123 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Sep 12, 2012 Feb 28, 2019 No Longer Used
68152-0102-02 68152-0102 Levoleucovorin Fusilev 10.0 mg/mL Ancillary Therapy Chemoprotective Antidote Intravenous Sep 15, 2011 Feb 28, 2019 No Longer Used
70518-0205-00 70518-0205 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Feb 8, 2017 Feb 27, 2019 No Longer Used
70518-0223-00 70518-0223 METHOTREXATE Methotrexate 2.5 mg/1 Chemotherapy Antimetabolite Folic Acid Analog Oral Feb 15, 2017 Feb 23, 2019 No Longer Used
68788-9179-07 68788-9179 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 No Longer Used
68788-9513-02 68788-9513 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Mar 3, 2014 Feb 22, 2019 No Longer Used
68788-9177-03 68788-9177 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 In Use
68788-1473-05 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-1473-09 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-1473-06 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-9513-00 68788-9513 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Mar 3, 2014 Feb 22, 2019 No Longer Used
68788-9177-04 68788-9177 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 In Use
68788-9179-03 68788-9179 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 No Longer Used
68788-1473-04 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-1473-02 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-9503-08 68788-9503 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 In Use
68788-9503-04 68788-9503 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 In Use
68788-9513-06 68788-9513 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Mar 3, 2014 Feb 22, 2019 No Longer Used
68788-9177-09 68788-9177 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 In Use
68788-1473-08 68788-1473 Prednisone Prednisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 19, 2013 Feb 22, 2019 No Longer Used
68788-9179-06 68788-9179 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 No Longer Used
68788-9179-09 68788-9179 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jul 21, 2011 Feb 22, 2019 No Longer Used

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