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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
55700-0072-21 55700-0072 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Aug 3, 2009 Dec 31, 2014 No Longer Used
00143-2424-07 00143-2424 Ondansetron Ondansetron 24.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jan 1, 2008 Dec 31, 2014 In Use
55700-0072-18 55700-0072 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Aug 3, 2009 Dec 31, 2014 No Longer Used
35356-0673-20 35356-0673 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 22, 1972 Dec 31, 2014 No Longer Used
35356-0250-00 35356-0250 Estrogens, Conjugated, conjugated estrogens Premarin 0.9 mg/1 Hormonal Therapy Estrogen Oral Mar 22, 2012 Dec 31, 2014 No Longer Used
35356-0249-00 35356-0249 Estrogens, Conjugated, conjugated estrogens Premarin 0.3 mg/1 Hormonal Therapy Estrogen Oral Mar 22, 2012 Dec 31, 2014 No Longer Used
55700-0072-20 55700-0072 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Aug 3, 2009 Dec 31, 2014 No Longer Used
53014-0250-01 53014-0250 Prednisolone Sodium Phosphate Pediapred 6.7 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 28, 1986 Dec 31, 2014 No Longer Used
49999-0458-30 49999-0458 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Mar 7, 2012 Dec 31, 2014 No Longer Used
55390-0163-01 55390-0163 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 8, 2005 Dec 31, 2014 No Longer Used
35356-0426-30 35356-0426 Estrogens, Conjugated, conjugated estrogens Premarin 1.25 mg/1 Hormonal Therapy Estrogen Oral Mar 22, 2012 Dec 31, 2014 No Longer Used
55700-0072-30 55700-0072 Prednisone Prednisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Aug 3, 2009 Dec 31, 2014 No Longer Used
35356-0673-21 35356-0673 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 22, 1972 Dec 31, 2014 No Longer Used
55154-2733-08 55154-2733 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 4.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-Articular, Intralesional, Intramuscular, Intravenous, Soft Tissue May 11, 2011 Dec 31, 2014 No Longer Used
55390-0164-01 55390-0164 Octreotide Acetate Octreotide Acetate Hormonal Therapy Somatostatin Analog Apr 8, 2005 Dec 31, 2014 No Longer Used
25021-0802-10 25021-0802 Pamidronate Disodium Pamidronate Disodium 3.0 mg/mL Ancillary Therapy Bisphosphonate Intravenous Jan 15, 2010 Dec 31, 2014 No Longer Used
35356-0251-00 35356-0251 Estrogens, Conjugated, conjugated estrogens Premarin 0.45 mg/1 Hormonal Therapy Estrogen Oral Mar 22, 2012 Dec 31, 2014 No Longer Used
00143-2422-01 00143-2422 Ondansetron Hydrochloride Ondansetron 4.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jan 1, 2008 Dec 31, 2014 In Use
25021-0803-10 25021-0803 Pamidronate Disodium Pamidronate Disodium 9.0 mg/mL Ancillary Therapy Bisphosphonate Intravenous Jan 15, 2010 Dec 31, 2014 No Longer Used
35356-0763-21 35356-0763 Methylprednisolone Methylprednisolone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Dec 22, 1998 Dec 31, 2014 No Longer Used
00143-2422-30 00143-2422 Ondansetron Hydrochloride Ondansetron 4.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jan 1, 2008 Dec 31, 2014 In Use
00143-2422-25 00143-2422 Ondansetron Hydrochloride Ondansetron 4.0 mg/1 Ancillary Therapy Antiemetic 5HT3 Receptor Antagonist Oral Jan 1, 2008 Dec 31, 2014 In Use
35356-0673-40 35356-0673 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 22, 1972 Dec 31, 2014 No Longer Used
52125-0803-08 52125-0803 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Jan 3, 2014 Jan 3, 2015 No Longer Used
55154-0885-03 55154-0885 Megestrol Acetate Megestrol Acetate 40.0 mg/1 Hormonal Therapy Progestin Analog Oral Nov 30, 1995 Jan 13, 2015 No Longer Used

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