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NDC-11 (Package) NDC-9 (Product) Generic Name Brand Name Strength SEER*Rx Category Major Class Minor Class (Ascending) Administration Route Package Effective Date Package Discontinuation Date Status
59651-0299-60 59651-0299 Tamoxifen Citrate Tamoxifen Citrate 10.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Aug. 14, 2020 In Use
59651-0300-30 59651-0300 Tamoxifen Citrate Tamoxifen Citrate 20.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Aug. 14, 2020 In Use
59651-0300-90 59651-0300 Tamoxifen Citrate Tamoxifen Citrate 20.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Aug. 14, 2020 In Use
67457-0920-05 67457-0920 Zoledronic acid Zoledronic acid 4.0 mg/5mL Ancillary Therapy Bisphosphonate Intravenous Oct. 12, 2020 In Use
59353-0220-10 59353-0220 Epoetin alfa-epbx RETACRIT 10000.0 [iU]/mL Ancillary Therapy Erythropoiesis-Stimulating Agent Intravenous, Subcutaneous Nov. 9, 2020 In Use
59353-0120-10 59353-0120 Epoetin alfa-epbx RETACRIT 20000.0 [iU]/mL Ancillary Therapy Erythropoiesis-Stimulating Agent Intravenous, Subcutaneous Nov. 9, 2020 In Use
70860-0211-74 70860-0211 Fulvestrant Fulvestrant 50.0 mg/mL Hormonal Therapy Estrogen Receptor Antagonist Intramuscular Feb. 18, 2020 In Use
59762-0055-01 59762-0055 Medroxyprogesterone acetate Medroxyprogesterone acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Aug. 20, 2018 In Use
59762-0055-02 59762-0055 Medroxyprogesterone acetate Medroxyprogesterone acetate 2.5 mg/1 Hormonal Therapy Progestin Oral Nov. 2, 2020 In Use
59762-0058-01 59762-0058 Medroxyprogesterone acetate Medroxyprogesterone acetate 5.0 mg/1 Hormonal Therapy Progestin Oral Jan. 2, 2019 In Use
59762-0058-02 59762-0058 Medroxyprogesterone acetate Medroxyprogesterone acetate 5.0 mg/1 Hormonal Therapy Progestin Oral May 11, 2020 In Use
59762-0058-04 59762-0058 Medroxyprogesterone acetate Medroxyprogesterone acetate 5.0 mg/1 Hormonal Therapy Progestin Oral March 9, 2020 Sept. 16, 2020 In Use
00002-4184-02 00002-4184 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Dec. 16, 2016 In Use
00002-4184-07 00002-4184 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Dec. 16, 2016 Nov. 30, 2019 In Use
00002-4184-30 00002-4184 Raloxifene Hydrochloride Evista 60.0 mg/1 Hormonal Therapy Selective Estrogen Receptor Modulator (SERM) Oral Dec. 16, 2016 In Use
59630-0222-07 59630-0222 Naldemedine SYMPROIC 0.2 mg/1 Ancillary Therapy Opioid Antagonist Oral July 5, 2018 Dec. 31, 2020 No Longer Used
59630-0222-30 59630-0222 Naldemedine SYMPROIC 0.2 mg/1 Ancillary Therapy Opioid Antagonist Oral July 5, 2018 Dec. 31, 2020 No Longer Used
59630-0222-90 59630-0222 Naldemedine SYMPROIC 0.2 mg/1 Ancillary Therapy Opioid Antagonist Oral July 5, 2018 Dec. 31, 2020 No Longer Used
70934-0798-30 70934-0798 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral Oct. 19, 2020 In Use
54348-0701-30 54348-0701 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral July 9, 2019 In Use
72189-0198-90 72189-0198 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral April 12, 2021 In Use
54348-0702-90 54348-0702 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral July 9, 2019 In Use
63629-3755-01 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral March 14, 1996 March 30, 2018 No Longer Used
63629-3755-02 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral March 14, 1996 March 30, 2018 No Longer Used
63629-3755-03 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov. 24, 2008 March 30, 2018 No Longer Used
63629-3755-04 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov. 24, 2008 March 30, 2018 No Longer Used
63629-3755-05 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov. 24, 2008 March 30, 2018 No Longer Used
63629-3755-06 63629-3755 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Nov. 24, 2008 March 30, 2018 No Longer Used
70934-0215-30 70934-0215 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Dec. 28, 2018 In Use
70934-0215-90 70934-0215 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral May 19, 2020 In Use
70934-0506-30 70934-0506 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral March 19, 2020 In Use
70934-0506-90 70934-0506 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral March 17, 2021 In Use
70934-0393-30 70934-0393 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral June 13, 2019 In Use
70518-2369-00 70518-2369 Estradiol Estradiol 2.0 mg/1 Hormonal Therapy Estrogen Oral Oct. 19, 2019 In Use
70518-2595-00 70518-2595 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral Feb. 25, 2020 In Use
72189-0183-60 72189-0183 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Feb. 24, 2021 In Use
72189-0183-90 72189-0183 Estradiol Estradiol 1.0 mg/1 Hormonal Therapy Estrogen Oral Feb. 24, 2021 In Use
68788-7892-01 68788-7892 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral April 23, 2021 In Use
68788-7892-03 68788-7892 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral April 23, 2021 In Use
68788-7892-06 68788-7892 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral April 23, 2021 In Use
68788-7892-09 68788-7892 Estradiol Estradiol 0.5 mg/1 Hormonal Therapy Estrogen Oral April 23, 2021 In Use
50090-0167-00 50090-0167 Estrogens, Conjugated Premarin 0.625 mg/1 Hormonal Therapy Estrogen Oral Oct. 29, 2018 In Use
50090-0167-05 50090-0167 Estrogens, Conjugated Premarin 0.625 mg/1 Hormonal Therapy Estrogen Oral June 21, 2016 In Use
63187-0382-10 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Feb. 1, 2019 In Use
63187-0382-20 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Sept. 1, 2016 In Use
63187-0382-30 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Sept. 1, 2016 In Use
63187-0382-40 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Sept. 1, 2016 In Use
63187-0382-60 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Sept. 1, 2016 In Use
63187-0382-90 63187-0382 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Sept. 1, 2016 In Use
63629-2612-01 63629-2612 Medroxyprogesterone Acetate Medroxyprogesterone Acetate 10.0 mg/1 Hormonal Therapy Progestin Oral Aug. 17, 2007 In Use

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