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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
50090-0271-00 50090-0271 Methylprednisolone Sodium Succinate Solu-Medrol 125.0 mg/2mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Nov 28, 2014 In Use
50090-0271-01 50090-0271 Methylprednisolone Sodium Succinate Solu-Medrol 125.0 mg/2mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Jul 21, 2015 In Use
50090-0294-09 50090-0294 METHOTREXATE Methotrexate 2.5 mg/1 Chemotherapy Antimetabolite Folic Acid Analog Oral Jun 29, 2016 Jan 31, 2021 In Use
50090-0295-01 50090-0295 Triamcinolone Acetonide Kenalog-10 10.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-Articular, Intralesional Jun 29, 2016 In Use
50090-0312-01 50090-0312 Methylprednisolone Acetate Depo-Medrol 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intralesional, Intramuscular, Intrasynovial, Soft Tissue Jun 29, 2016 In Use
50090-0414-00 50090-0414 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 4.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Jun 29, 2016 Feb 28, 2018 In Use
50090-0436-00 50090-0436 Methylprednisolone Acetate Depo-Medrol 80.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-Articular, Intralesional, Intramuscular, Soft Tissue Jun 29, 2016 In Use
50090-0439-00 50090-0439 Prednisone Prednisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Jun 29, 2016 In Use
50090-0485-01 50090-0485 Tamoxifen Citrate Tamoxifen Citrate 10.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Jun 29, 2016 In Use
50090-0490-00 50090-0490 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Jan 17, 2019 In Use
50090-0490-02 50090-0490 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Jun 29, 2016 In Use
50090-0491-00 50090-0491 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 5.0 mg/1 Hormonal Therapy Progestin Oral Jan 17, 2019 In Use
50090-0491-01 50090-0491 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 5.0 mg/1 Hormonal Therapy Progestin Oral Jun 29, 2016 In Use
50090-0556-00 50090-0556 Methylprednisolone Acetate Depo-Medrol 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intralesional, Intramuscular, Intrasynovial, Soft Tissue Jun 29, 2016 In Use
50090-0627-01 50090-0627 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 4.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Nov 28, 2014 In Use
50090-0627-02 50090-0627 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 4.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Nov 28, 2014 In Use
50090-0627-03 50090-0627 Dexamethasone Sodium Phosphate Dexamethasone Sodium Phosphate 4.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intramuscular, Intravenous Sep 30, 2019 In Use
50090-0655-00 50090-0655 Prednisolone Prednisolone 15.0 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Nov 28, 2014 In Use
50090-0655-01 50090-0655 Prednisolone Prednisolone 15.0 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Dec 22, 2018 In Use
50090-0655-02 50090-0655 Prednisolone Prednisolone 15.0 mg/5mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Nov 29, 2018 In Use
50090-0666-00 50090-0666 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov 28, 2014 May 31, 2017 No Longer Used
50090-0666-02 50090-0666 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov 28, 2014 May 31, 2017 No Longer Used
50090-0667-00 50090-0667 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral Nov 28, 2014 Mar 31, 2017 No Longer Used
50090-0819-00 50090-0819 Triamcinolone Acetonide Kenalog-40 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-Articular, Intramuscular Nov 28, 2014 In Use
50090-0942-00 50090-0942 Tamoxifen Citrate Tamoxifen Citrate 20.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Nov 28, 2014 In Use

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