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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
00179-0155-70 00179-0155 Hydrocortisone Hydrocortisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral Sept. 3, 2014 Dec. 31, 2017 In Use
00179-0244-70 00179-0244 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 5.0 mg/1 Hormonal Therapy Progestin Oral July 26, 2018 Jan. 31, 2019 No Longer Used
00187-0902-01 00187-0902 Methyltestosterone Android 10.0 mg/1 Hormonal Therapy Androgen Oral Dec. 3, 1973 April 30, 2018 No Longer Used
00591-0790-01 00591-0790 Methylprednisolone Methylprednisolone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 26, 2016 Aug. 31, 2020 No Longer Used
00591-0790-21 00591-0790 Methylprednisolone Methylprednisolone 4.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral May 26, 2016 Sept. 30, 2021 No Longer Used
00591-4130-54 00591-4130 Levoleucovorin Levoleucovorin 10.0 mg/mL Ancillary Therapy Chemoprotective Antidote Intravenous Feb. 6, 2017 May 31, 2019 No Longer Used
00603-3899-10 00603-3899 Hydrocortisone Hydrocortisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Oct. 26, 2016 No Longer Used
00603-3899-19 00603-3899 Hydrocortisone Hydrocortisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Sept. 30, 2019 No Longer Used
00603-3899-21 00603-3899 Hydrocortisone Hydrocortisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 July 31, 2018 No Longer Used
00603-3899-28 00603-3899 Hydrocortisone Hydrocortisone 5.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 July 31, 2018 No Longer Used
00603-3900-10 00603-3900 Hydrocortisone Hydrocortisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Oct. 26, 2016 No Longer Used
00603-3900-21 00603-3900 Hydrocortisone Hydrocortisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Oct. 31, 2019 No Longer Used
00603-3900-28 00603-3900 Hydrocortisone Hydrocortisone 10.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Dec. 4, 2018 No Longer Used
00603-3901-10 00603-3901 Hydrocortisone Hydrocortisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Oct. 26, 2016 No Longer Used
00603-3901-21 00603-3901 Hydrocortisone Hydrocortisone 20.0 mg/1 Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Oral July 16, 2007 Sept. 30, 2019 No Longer Used
00703-4075-51 00703-4075 Pamidronate Disodium Pamidronate Disodium 3.0 mg/mL Ancillary Therapy Bisphosphonate Intravenous Nov. 8, 2005 Nov. 8, 2005 In Use
00703-4085-51 00703-4085 Pamidronate Disodium Pamidronate Disodium 9.0 mg/mL Ancillary Therapy Bisphosphonate Intravenous Nov. 8, 2005 Sept. 30, 2012 In Use
00703-4805-01 00703-4805 Mesna Mesna 100.0 mg/mL Ancillary Therapy Chemoprotective Detoxifying Agent Intravenous May 1, 2002 Oct. 31, 2020 No Longer Used
00703-4805-03 00703-4805 Mesna Mesna 100.0 mg/mL Ancillary Therapy Chemoprotective Detoxifying Agent Intravenous May 1, 2002 Jan. 31, 2013 No Longer Used
00781-3084-75 00781-3084 Triamcinolone Hexacetonide Aristospan 5.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intralesional, Parenteral July 29, 1969 May 31, 2016 In Use
00781-3132-71 00781-3132 Methylprednisolone Acetate Methylprednisolone Acetate 80.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, Intramuscular, Parenteral, Soft Tissue March 5, 2009 May 31, 2014 In Use
00781-3132-95 00781-3132 Methylprednisolone Acetate Methylprednisolone Acetate 80.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, Intramuscular, Parenteral, Soft Tissue March 5, 2009 May 31, 2014 In Use
00781-3136-70 00781-3136 Methylprednisolone Acetate Methylprednisolone Acetate 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, Intramuscular, Soft Tissue Jan. 29, 2009 Oct. 31, 2014 In Use
00781-3136-92 00781-3136 Methylprednisolone Acetate Methylprednisolone Acetate 40.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, Intramuscular, Soft Tissue Jan. 29, 2009 Jan. 31, 2009 In Use
00781-3137-75 00781-3137 Methylprednisolone Acetate Methylprednisolone Acetate 80.0 mg/mL Hormonal Therapy Adrenal Glucocorticoid Corticosteroid Intra-articular, Intralesional, Intramuscular, Soft Tissue Jan. 29, 2009 Oct. 31, 2014 In Use

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